Provider Demographics
NPI:1972530152
Name:LEVITE, SARA FEIN (LCPC)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:FEIN
Last Name:LEVITE
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 PHILIP ST
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04021-3901
Mailing Address - Country:US
Mailing Address - Phone:207-797-6540
Mailing Address - Fax:207-829-4535
Practice Address - Street 1:217 COMMERCIAL ST
Practice Address - Street 2:SUITE 302
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04101-4679
Practice Address - Country:US
Practice Address - Phone:207-797-6540
Practice Address - Fax:207-829-4535
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MACC548101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health