Provider Demographics
NPI:1912484072
Name:DEWS, CHRISTEL LYNNETTE (LCMHC)
Entity Type:Individual
Prefix:MS
First Name:CHRISTEL
Middle Name:LYNNETTE
Last Name:DEWS
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 77312
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27417-7312
Mailing Address - Country:US
Mailing Address - Phone:336-398-0211
Mailing Address - Fax:
Practice Address - Street 1:2501 FAIRFAX RD APT 2B
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-4158
Practice Address - Country:US
Practice Address - Phone:336-398-0211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-23
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA12770101YP2500X
NC12770101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional