Provider Demographics
NPI:1831403351
Name:LEANNA RACHEL LEVIN, LMHC, PA
Entity type:Organization
Organization Name:LEANNA RACHEL LEVIN, LMHC, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LEANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOBRIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:954-579-2717
Mailing Address - Street 1:7390 NW 5TH ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-1610
Mailing Address - Country:US
Mailing Address - Phone:954-583-8831
Mailing Address - Fax:954-583-9575
Practice Address - Street 1:7390 NW 5TH ST
Practice Address - Street 2:SUITE 5
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-1610
Practice Address - Country:US
Practice Address - Phone:954-583-8831
Practice Address - Fax:954-583-9575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-27
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8983101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty