Lewis, Eathell Bernice

Lewis, Eathell Bernice is an sole proprietor health care provider with primary practice located at 9331 Liberty Rd Suite 2C , Randallstown MD 21133-3525. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is her primary health care specialty. Lewis, Eathell Bernice can be contacted via phone (443) 414-9699.

Contact Information

Primary practice address
9331 Liberty Rd Suite 2C Randallstown MD 21133-3525
Phone: (443) 414-9699
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Maryland
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 211011733 Maryland
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 21011733

Profile Details

NPI number 1043970510
LBN Legal business name Lewis, Eathell Bernice
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2021
Last updated Mar 7th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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