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EATHELL BERNICE LEWIS
NPI 1043970510
Clinic/Center - Mental Health (Including Community Mental Health Center) in Randallstown, MD

Active since December 27, 2021
9331 LIBERTY RD SUITE 2C, RANDALLSTOWN, MD 21133(443) 414-9699 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2022, Dec 27, 2021 (2 updates tracked since 2021).

About Eathell Bernice Lewis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EATHELL BERNICE LEWIS (NPI 1043970510) is an individual mental health (including community mental health center) provider in Randallstown, Maryland, licensed in (21011733) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1043970510
Entity TypeIndividualFemale
Primary Taxonomy261QM0801X
Provider Legal NameEATHELL BERNICE LEWIS
Location Address9331 LIBERTY RD SUITE 2CRandallstown, MD 21133-3525
Mailing Address3812 Sandy Hook Road 3812 SandRandallstown, MD 21133 · (443) 414-9699 · Fax (443) 279-6802
Phone(443) 414-9699
Sole ProprietorYes
Enumeration DateDecember 27, 2021
Last NPPES UpdateMarch 7, 20222 updates tracked since enumeration
NPPES CertifiedMarch 2, 2022
✔ NPI 1043970510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Licenses✔ Licensed · 21011733✔ Licensed in MD · 211011733
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
9331 LIBERTY RD SUITE 2C, Randallstown, MD 21133
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eathell Lewis's NPI number?

The NPI number for Eathell Lewis is 1043970510. It was assigned to this individual provider in the NPPES registry on December 27, 2021.

Where is Eathell Lewis located?

Eathell Lewis practices at 9331 Liberty Rd Suite 2C, Randallstown, MD 21133. The listed phone number is (443) 414-9699.

What is Eathell Lewis's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Eathell Lewis was last updated on March 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.