Provider Demographics
NPI:1629525811
Name:LEWIS, RACHEL L (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:L
Last Name:LEWIS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 N 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-1844
Mailing Address - Country:US
Mailing Address - Phone:740-996-7100
Mailing Address - Fax:740-282-5591
Practice Address - Street 1:740 N 6TH AVE
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-1844
Practice Address - Country:US
Practice Address - Phone:740-996-7100
Practice Address - Fax:740-282-5591
Is Sole Proprietor?:No
Enumeration Date:2016-09-06
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC1600077101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health