Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101200000X | Drama Therapist | ||
N | 101Y00000X | Counselor | ||
N | 101YM0800X | Mental Health Counselor | ||
N | 103K00000X | Behavior Analyst | ||
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | ||
Y | 103TA0700X | Adult Development & Aging Psychologist | ||
N | 103TB0200X | Cognitive & Behavioral Psychologist | ||
N | 103TC1900X | Counseling Psychologist | ||
N | 103TF0000X | Family Psychologist | ||
N | 103TP2701X | Group Psychotherapist |
NPI | 1447845318 |
---|---|
Provider Name | Chelsea Janee Lewis |
First Address | Tomball, TX 77377-8521 |
Second Address | Tomball, TX 77377-8521 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2021 |
Last Update Date | 28/04/2021 |