Provider Demographics
NPI:1043644677
Name:LEWIS, RHONDA SUE (SCHOOL COUNSLOR)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:SUE
Last Name:LEWIS
Suffix:
Gender:F
Credentials:SCHOOL COUNSLOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 INDEPENDENT LN
Mailing Address - Street 2:
Mailing Address - City:OLIVE HILL
Mailing Address - State:KY
Mailing Address - Zip Code:41164-8160
Mailing Address - Country:US
Mailing Address - Phone:606-286-6534
Mailing Address - Fax:
Practice Address - Street 1:81 INDEPENDENT LN
Practice Address - Street 2:
Practice Address - City:OLIVE HILL
Practice Address - State:KY
Practice Address - Zip Code:41164-8160
Practice Address - Country:US
Practice Address - Phone:606-286-6534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-30
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY200008037101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional