EATHELL BERNICE LEWIS NPI 1043970510

NPI Information

NPI: 1043970510
Provider Name: EATHELL BERNICE LEWIS
Classification: Clinic/Center - 261QM0801X
Entity Type: Individual

Specialization: Mental Health (Including Community Mental Health Center)

Address:
9331 LIBERTY RD SUITE 2C
RANDALLSTOWN, MD
ZIP 21133
Phone: (443) 414-9699
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Eathell Bernice Lewis is a mental health (including community mental health center) clinic center in Randallstown, MD. Eathell Bernice Lewis NPI is 1043970510. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9331 LIBERTY RD SUITE 2C
RANDALLSTOWN, MD
ZIP 21133-525
Phone: (443) 414-9699

The enumeration date for this NPI number is 12/27/2021 and was last updated on 3/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor				No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)		MARYLAND	No
3	101YM0800X	Counselor	Mental Health			No
4	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	211011733	MARYLAND	No
5	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	21011733		Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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