Individual provider · Type 1 NPI

Phillip Leavitt, LAC

Mental Health Counselor · Glendale, AZ

NPI number 1407706369 Active

Practice location

18301 N 79th Ave Ste C128
Glendale, AZ 85308-8470

Call (602) 279-1468 Map

Fax (623) 248-3060

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLAC-22577 (AZ)

Mental Health Counselor: Definition to come...

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About NPI 1407706369

Phillip Leavitt, LAC's National Provider Identifier is 1407706369, issued on Jan 30, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Glendale, AZ. The record was last updated on Jan 30, 2026.