Eathell Bernice Lewis

NPI #1043970510 in Randallstown, Maryland

Provider Information

NPI Number: 1043970510
Entity Type: Individual
Name: Eathell Bernice Lewis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Dec 27, 2021
Last Updated: Mar 7, 2022

Practice Location

Address: 9331 LIBERTY RD SUITE 2C
City: Randallstown
State: Maryland
ZIP Code: 21133-3525
Phone: (443) 414-9699

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X

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