Doctor Name: | MRS. RHONDA SUE LEWIS |
NPI Number: | 1043644677 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SCHOOL COUNSLOR |
License Number: | 200008037 |
Business Practice Address: | 81 Independent Ln Olive Hill, KY - 411648160 |
Business Phone Number: | 6062866534 |
Business Fax Number: | |
Mailing Address: | 81 Independent Ln, OLIVE HILL |
State: | KY |
Postal Code: | 411648160 |
Phone Number: | 6062866534 |
Fax Number: | |
NPI Enumeration Date: | 08/30/2013 |
NPI Last Update Date: | 08/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 200008037 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |