Provider Demographics
NPI:1003792375
Name:LEVASSEUR, ANNAH (LMSW-CC, LADC, CCS)
Entity type:Individual
Prefix:
First Name:ANNAH
Middle Name:
Last Name:LEVASSEUR
Suffix:
Gender:F
Credentials:LMSW-CC, LADC, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04103-1241
Mailing Address - Country:US
Mailing Address - Phone:207-838-6603
Mailing Address - Fax:
Practice Address - Street 1:9 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04103-1241
Practice Address - Country:US
Practice Address - Phone:207-838-6603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC8781101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)