Provider Demographics
NPI:1538182126
Name:HEWITT, SYLVIA ANNE (RN/LPC)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:ANNE
Last Name:HEWITT
Suffix:
Gender:F
Credentials:RN/LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4032 8TH STREET LN NE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-7312
Mailing Address - Country:US
Mailing Address - Phone:828-324-2296
Mailing Address - Fax:828-324-2296
Practice Address - Street 1:4032 8THSTREET LANE NE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28677
Practice Address - Country:US
Practice Address - Phone:828-324-2296
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4803101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6102345Medicaid
NC807113318WOtherHEALTH CARE PROFESSIONAL