Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EATHELL BERNICE LEWIS
Active Sole ProprietorEATHELL BERNICE LEWIS is a Mental Health Clinic healthcare provider located in RANDALLSTOWN, Maryland. NPI 1043970510 is currently active in the NPPES registry. Verify at CMS.
Mental Health Clinic · RANDALLSTOWN, MD
Registration Details
- NPI Number
- 1043970510
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 27, 2021 (4.6642634067689 yrs)
- Last Updated
- Mar 7, 2022
- Licenses
-
211011733 (MD)21011733
- Sole Proprietor
- Yes
Practice Information
- Address
-
9331 LIBERTY RD SUITE 2CRANDALLSTOWN, MD, 211333525Browse MD providers · Browse ZIP 21133
- Phone
- 4434149699
- Primary Specialty
-
Mental Health Clinic
261QM0801X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Mental Health Clinic
- Additional Specialty
- Mental Health Clinic
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.