Provider Demographics
NPI:1992579221
Name:LEVITAS, SABRINA (LPC)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:LEVITAS
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 1:3610 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-4907
Mailing Address - Country:US
Mailing Address - Phone:847-224-4300
Mailing Address - Fax:
Practice Address - Street 1:601 SKOKIE BLVD STE 402
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-2820
Practice Address - Country:US
Practice Address - Phone:847-607-1589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-07
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.019531101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional