Provider Demographics
NPI:1780888214
Name:LEWIS, JULIA E (LCMHC)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:E
Last Name:LEWIS
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:
Other - Last Name:ROBERTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCMHC
Mailing Address - Street 1:81 AUSTIN RD
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:VT
Mailing Address - Zip Code:05468-4225
Mailing Address - Country:US
Mailing Address - Phone:802-448-2360
Mailing Address - Fax:
Practice Address - Street 1:81 AUSTIN RD
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:VT
Practice Address - Zip Code:05468-4225
Practice Address - Country:US
Practice Address - Phone:802-448-2360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-11
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT68.00053420101YM0800X
OHC 0500673101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health