Provider Demographics
NPI:1316172927
Name:LEWINSKI, ROBERT P (MACC, LPC)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:P
Last Name:LEWINSKI
Suffix:
Gender:M
Credentials:MACC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28134-7575
Mailing Address - Country:US
Mailing Address - Phone:704-497-0225
Mailing Address - Fax:
Practice Address - Street 1:705 LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28134-7575
Practice Address - Country:US
Practice Address - Phone:704-497-0225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-27
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6857101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional