Provider Demographics
NPI:1598049538
Name:LEWINSKI, AMARIE (MACC, LPC)
Entity Type:Individual
Prefix:
First Name:AMARIE
Middle Name:
Last Name:LEWINSKI
Suffix:
Gender:F
Credentials:MACC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10030 PARK CEDAR DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-8918
Mailing Address - Country:US
Mailing Address - Phone:704-497-0226
Mailing Address - Fax:
Practice Address - Street 1:10030 PARK CEDAR DR
Practice Address - Street 2:SUITE 200
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-8918
Practice Address - Country:US
Practice Address - Phone:704-497-0226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-10
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7959101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional