Provider Demographics
NPI:1629577440
Name:LEWIS, CATHERINE ELAINE (LPC, CSAC, CS-IT)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:ELAINE
Last Name:LEWIS
Suffix:
Gender:F
Credentials:LPC, CSAC, CS-IT
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:ELAINE
Other - Last Name:PRZYBYL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:208 CARDINAL DR
Mailing Address - Street 2:
Mailing Address - City:SULLIVAN
Mailing Address - State:WI
Mailing Address - Zip Code:53178-9676
Mailing Address - Country:US
Mailing Address - Phone:414-303-2088
Mailing Address - Fax:
Practice Address - Street 1:514 RIVERVIEW AVE
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-3631
Practice Address - Country:US
Practice Address - Phone:262-548-7666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-07
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI16570-132101YA0400X
WI8278-125101YA0400X
WI15963-133101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)