Provider Demographics
NPI:1912781428
Name:SARAH H LEAVITT, LPC, LLC
Entity Type:Organization
Organization Name:SARAH H LEAVITT, LPC, LLC
Other - Org Name:COUNSELING ANCHORAGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:H
Authorized Official - Last Name:LEAVITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-227-8001
Mailing Address - Street 1:4050 LAKE OTIS PKWY STE 105
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5220
Mailing Address - Country:US
Mailing Address - Phone:907-227-8001
Mailing Address - Fax:
Practice Address - Street 1:403 LINCOLN ST STE 234
Practice Address - Street 2:
Practice Address - City:SITKA
Practice Address - State:AK
Practice Address - Zip Code:99835-7676
Practice Address - Country:US
Practice Address - Phone:907-227-8001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SARAH H LEAVITT, LPC, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-08-24
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty