Provider Demographics
NPI:1649824418
Name:LEWIS, EMILY CLAIRE (MA, LPC, FCP)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:CLAIRE
Last Name:LEWIS
Suffix:
Gender:F
Credentials:MA, LPC, FCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7265 KENWOOD RD STE 150
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-4411
Mailing Address - Country:US
Mailing Address - Phone:513-549-7732
Mailing Address - Fax:
Practice Address - Street 1:7265 KENWOOD RD STE 150
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-4411
Practice Address - Country:US
Practice Address - Phone:513-549-7732
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-30
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1902091101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHPPIOtherNOT APPLICABLE