Eathell Bernice Lewis
Eathell Bernice Lewis is a Counselor in Randallstown, Maryland. Practices as a sole proprietor. Licensed in Maryland.
- Licensed in
- MD
- In the registry since
- 2021
- Specialties on file
- 5
Practice location Address checks out
9331 Liberty Rd Ste 2CRandallstown, MD 21133-3525
Phone: (443) 414-9699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X · Licence 21011733 |
|---|---|
| Counselor | Taxonomy 101Y00000X |
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X (MD) |
| Mental Health Counselor | Taxonomy 101YM0800X |
| Mental Health Clinic/Center (Including Community Mental Health Center) | Taxonomy 261QM0801X · Licence 211011733 (MD) |
Record details
| NPI number | 1043970510 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 27, 2021 |
| Last updated in NPPES | March 7, 2022 |
| Certification date | March 2, 2022 |
| Mailing address | 3812 Sandy Hook Road 3812 Sand, Randallstown, MD 21133 |
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