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NPI Code Detail

MEDICARE: MISS RACHEL AME LEWIS LMHC

MEDICARE: MISS RACHEL AME LEWIS LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor11283NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
211283OTHERNYLICENSE

General Provider Information

NPI Number : 1922674159
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS RACHEL AME LEWIS LMHC
Provider Business Mailing Address
First Line : 427 GUY PARK AVE
Second Line :
City : AMSTERDAM
State : NY
Zip : 12010-1064
Country : US
Telephone Number : 518-842-1900
Fax Number :
Provider Business Practice Location Address
First Line : 73 N MAIN ST
Second Line :
City : GLOVERSVILLE
State : NY
Zip : 12078-3044
Country : US
Telephone Number : 518-773-3531
Fax Number : 518-773-9103
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2021
Last Update Date : 05/28/2021

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