Provider Demographics
NPI:1003396607
Name:HEWITT, JANIE L (LMFT)
Entity Type:Individual
Prefix:
First Name:JANIE
Middle Name:L
Last Name:HEWITT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1882 HAZELTINE WAY
Mailing Address - Street 2:
Mailing Address - City:HENRYVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47126-8599
Mailing Address - Country:US
Mailing Address - Phone:502-376-8283
Mailing Address - Fax:
Practice Address - Street 1:11603 SHELBYVILLE RD STE 5
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40243-1371
Practice Address - Country:US
Practice Address - Phone:502-341-8239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-14
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY277932106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist