Provider Demographics
NPI:1114410024
Name:LEWANSKI, KAITLYN (LPCC)
Entity type:Individual
Prefix:
First Name:KAITLYN
Middle Name:
Last Name:LEWANSKI
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5556 BROADVIEW RD APT 3320
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-1621
Mailing Address - Country:US
Mailing Address - Phone:216-287-6852
Mailing Address - Fax:
Practice Address - Street 1:398 W BAGLEY RD STE 13
Practice Address - Street 2:
Practice Address - City:BEREA
Practice Address - State:OH
Practice Address - Zip Code:44017-1312
Practice Address - Country:US
Practice Address - Phone:440-970-3790
Practice Address - Fax:440-527-8043
Is Sole Proprietor?:No
Enumeration Date:2018-06-14
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.2202978101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional