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Eathell Bernice Lewis
Mental Health Clinic/Center (Including Community Mental Health Center) in Randallstown, Maryland
NPI 1043970510

Eathell Bernice Lewis is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Randallstown, MD and is specialized in Mental Health (Including Community Mental Health Center). Eathell Bernice Lewis practices in Randallstown, MD. The NPI Number for Eathell Bernice Lewis is 1043970510 and holds a License No. (Maryland).

The current practice location address for Eathell Bernice Lewis is 9331 Liberty Rd Suite 2C, Randallstown, MD and can be reached out via phone at 443-414-9699.

Location: 9331 Liberty Rd Suite 2C, Randallstown, MD, 21133
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043970510
Provider Name
Eathell Bernice Lewis
Credential
Provider Entity Type
Individual
Gender
Female
Address
9331 Liberty Rd Suite 2C, Randallstown, MD, 21133
Phone Number
443-414-9699
Fax Number
Provider Enumeration Date
12/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9331 Liberty Rd Suite 2C
City
Randallstown
State
Maryland
Zip
21133-3525
Phone Number
443-414-9699
Fax Number
person
Provider Business Mailing Address Details
Address
9331 Liberty Rd Suite 2C
City
Randallstown
State
Maryland
Zip
21133-3525
Phone Number
443-414-9699
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
211011733 (Maryland)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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