MEDICARE: MS. RAJANI V LEVIS MS, LMFT, PPS, CTTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	LF61241036	WA
2	106H00000X	Marriage & Family Therapist	0190051	NM
3	106H00000X	Marriage & Family Therapist	51494	CA

General Provider Information

NPI Number	:	1154689792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. RAJANI V LEVIS MS, LMFT, PPS, CTTS

Provider Business Mailing Address
First Line	:	522 W RIVERSIDE AVE STE 8319
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99201-0580
Country	:	US
Telephone Number	:	415-683-1008
Fax Number	:

Provider Business Practice Location Address
First Line	:	522 W RIVERSIDE AVE STE 8319
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99201-0580
Country	:	US
Telephone Number	:	415-683-1008
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2012
Last Update Date	:	01/17/2024

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