| Judyth A. Leavitt Psychotherapist P.l.l.c. | |
|
7015 Spring Rd Shermans Dale PA 17090-8121 | |
| (603) 903-2122 | |
| (717) 275-0249 |
| Full Name | Judyth A. Leavitt Psychotherapist P.l.l.c. |
|---|---|
| Speciality | Counselor |
| Location | 7015 Spring Rd, Shermans Dale, Pennsylvania |
| Authorized Official Name and Position | Judyth A Leavitt (CEO) |
| Authorized Official Contact | 6039032122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Judyth A. Leavitt Psychotherapist P.l.l.c. 7015 Spring Rd Shermans Dale PA 17090-8121 Ph: (603) 903-2122 | Judyth A. Leavitt Psychotherapist P.l.l.c. 7015 Spring Rd Shermans Dale PA 17090-8121 Ph: (603) 903-2122 |
| NPI Number | 1083008312 |
|---|---|
| Provider Enumeration Date | 03/25/2015 |
| Last Update Date | 03/03/2026 |
| Certification Date | 03/03/2026 |
| Medicare PECOS PAC ID | 5799076444 |
|---|---|
| Medicare Enrollment ID | O20160628000396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083008312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1514 (New Hampshire) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0631 (New Hampshire) | Primary |
| Provider Name | Judyth A. Leavitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083927198 PECOS PAC ID: 6608167358 Enrollment ID: I20160628000496 |
Nhs Stevens Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6077 Spring Rd, Shermans Dale, PA 17090 Phone: 215-836-3131 Fax: 215-273-5975 |