Provider Demographics
NPI:1922336049
Name:LEWIS, LARHONDA M (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:LARHONDA
Middle Name:M
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 1:4 VILLAGE PARK CT
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-1118
Mailing Address - Country:US
Mailing Address - Phone:908-868-1162
Mailing Address - Fax:973-375-6933
Practice Address - Street 1:4 VILLAGE PARK CT
Practice Address - Street 2:
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-1118
Practice Address - Country:US
Practice Address - Phone:908-868-1162
Practice Address - Fax:973-375-6933
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-01
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00396400101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional