Individual
EVA LEWIS SUPEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC LCAS
Contact information
Practice address
208 N GREENE ST, SNOW HILL, NC 28580-1410
(336) 275-7973
Mailing address
108 CARVER DRIVE, SNOW HILL, NC 28580-1302
(336) 312-3818
(336) 450-4358
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
10756
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164623237
—
NC
05
—
1235574633
—
NC
05
—
1750037362
—
NC
Enumeration date
04/30/2013
Last updated
01/30/2025
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