Provider Demographics
NPI:1689340531
Name:LEVITT, RACHEL BETH (LPC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:BETH
Last Name:LEVITT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:887 MAIN ST STE 1B
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:CT
Mailing Address - Zip Code:06468-2800
Mailing Address - Country:US
Mailing Address - Phone:203-990-1215
Mailing Address - Fax:
Practice Address - Street 1:887 MAIN ST STE 1B
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:CT
Practice Address - Zip Code:06468-2800
Practice Address - Country:US
Practice Address - Phone:203-990-1215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-20
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT6748101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional