Provider Demographics
NPI:1770027104
Name:LEWIN, ADRIANA (LPC)
Entity type:Individual
Prefix:
First Name:ADRIANA
Middle Name:
Last Name:LEWIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4604 EVANSHIRE WAY
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-2661
Mailing Address - Country:US
Mailing Address - Phone:469-854-9678
Mailing Address - Fax:
Practice Address - Street 1:101 W LOUISIANA ST STE 206
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-4456
Practice Address - Country:US
Practice Address - Phone:469-854-9678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-04
Last Update Date:2016-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69622101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional