# JUDYTH A. LEAVITT PSYCHOTHERAPIST P.L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083008312
- **Authorized official:** JUDYTH A LEAVITT (CEO)
- **Authorized official phone:** (603) 903-2122

## Contact information

- **Practice address:** 7015 SPRING RD, SHERMANS DALE, PA 17090-8121
- **Practice address phone:** (603) 903-2122
- **Practice address fax:** (717) 275-0249
- **Mailing address:** 7015 SPRING RD, SHERMANS DALE, PA 17090-8121
- **Mailing address phone:** (603) 903-2122
- **Mailing address fax:** (717) 275-0249

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 0631 | NH | Yes |
| 1041C0700X | Clinical Social Worker | 1514 | NH | — |

## Other

- **Enumeration date:** 03/25/2015
- **Last updated:** 03/03/2026