Provider Demographics
NPI:1689340531
Name:LEVITT, RACHEL BETH (LPCA)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:BETH
Last Name:LEVITT
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 FOUNDERS VLG
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:CT
Mailing Address - Zip Code:06413-1837
Mailing Address - Country:US
Mailing Address - Phone:609-222-4213
Mailing Address - Fax:
Practice Address - Street 1:8 W MAIN ST STE 3-15
Practice Address - Street 2:
Practice Address - City:NIANTIC
Practice Address - State:CT
Practice Address - Zip Code:06357-2332
Practice Address - Country:US
Practice Address - Phone:609-222-4213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional