Individual
BETHANY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1471 ELMWOOD AVE, CRANSTON, RI 02910-3849
(401) 490-7320
(401) 490-7694
Mailing address
1471 ELMWOOD AVE, CRANSTON, RI 02910-3849
(401) 490-7320
(401) 490-7694
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC000369
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GH57134
—
RI
Enumeration date
01/15/2009
Last updated
01/15/2009
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