Provider Demographics
NPI:1629525811
Name:LEWIS, RACHEL L (MA, LPC)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:L
Last Name:LEWIS
Suffix:
Gender:
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3203 PENNSYLVANIA AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:WEIRTON
Mailing Address - State:WV
Mailing Address - Zip Code:26062-3852
Mailing Address - Country:US
Mailing Address - Phone:304-491-8200
Mailing Address - Fax:304-918-0210
Practice Address - Street 1:3203 PENNSYLVANIA AVE STE 1
Practice Address - Street 2:
Practice Address - City:WEIRTON
Practice Address - State:WV
Practice Address - Zip Code:26062-3852
Practice Address - Country:US
Practice Address - Phone:304-491-8200
Practice Address - Fax:304-918-0210
Is Sole Proprietor?:No
Enumeration Date:2016-09-06
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC1600077101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health