Provider Demographics
NPI:1265093322
Name:LEWIS AREVALO, CAROLYNNE (LPC)
Entity type:Individual
Prefix:
First Name:CAROLYNNE
Middle Name:
Last Name:LEWIS AREVALO
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1703 AURA CT
Mailing Address - Street 2:
Mailing Address - City:SUN CITY CENTER
Mailing Address - State:FL
Mailing Address - Zip Code:33573-5061
Mailing Address - Country:US
Mailing Address - Phone:609-510-4309
Mailing Address - Fax:
Practice Address - Street 1:1703 AURA CT
Practice Address - Street 2:
Practice Address - City:SUN CITY CENTER
Practice Address - State:FL
Practice Address - Zip Code:33573-5061
Practice Address - Country:US
Practice Address - Phone:609-510-4309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-27
Last Update Date:2025-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00677900101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional