Provider Demographics
NPI:1568852903
Name:LEWIS-WILKINS, CHELSEA (LCPC)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:LEWIS-WILKINS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3411 PRINCESS GRACE CT
Mailing Address - Street 2:
Mailing Address - City:DISTRICT HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20747-3846
Mailing Address - Country:US
Mailing Address - Phone:240-291-6907
Mailing Address - Fax:
Practice Address - Street 1:3411 PRINCESS GRACE CT
Practice Address - Street 2:
Practice Address - City:DISTRICT HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20747-3846
Practice Address - Country:US
Practice Address - Phone:240-291-6907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-23
Last Update Date:2024-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAC2056101YA0400X
MDLC8758101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)