MEDICARE: MS. COLLEEN M LEWIS MFT, ATR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	48370	CA

General Provider Information

NPI Number	:	1275715955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. COLLEEN M LEWIS MFT, ATR

Provider Business Mailing Address
First Line	:	3912 MATCH POINT AVE
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95407-2523
Country	:	US
Telephone Number	:	707-292-7784
Fax Number	:

Provider Business Practice Location Address
First Line	:	7425 RANCHO LOS GUILICOS RD DEPT B
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95409-6530
Country	:	US
Telephone Number	:	707-495-7388
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2007
Last Update Date	:	02/17/2012

Similar Medicare Providers

1700335742 — ADRIANA GARCIA
Practice Location Address:

7425 RANCHO LOS GUILICOS RD DEPT B
SANTA ROSA, CA
95409-6530

Practice Phone: 707-565-8681
Practice Fax: 707-565-8689

1457170813 — COUNTY OF SONOMA
Practice Location Address:

7425 RANCHO LOS GUILICOS RD DEPT A
SANTA ROSA, CA
95409-6530

Practice Phone: 707-565-6300
Practice Fax:

1104015858 — ALEXANDRA KATHLEEN ROMERO PSYD
Practice Location Address:

117 N GUADALUPE ST , SUITE D
SANTA FE, NM
87501-6530

Practice Phone: 505-570-5824
Practice Fax:

1376790931 — MICHELLE RIOS RICE MSW
Practice Location Address:

2916 CALLE DERECHA
SANTA FE, NM
87505-6530

Practice Phone: 505-471-0038
Practice Fax:

1326053604 — WALGREEN CO
Practice Location Address:

4610 SONOMA HWY
SANTA ROSA, CA
95409-4137

Practice Phone: 707-538-9275
Practice Fax:

1841460698 — JULIE HINDLEY
Practice Location Address:

6574 OAKMONT DRIVE
SANTA ROSA, CA
95409

Practice Phone: 707-331-7148
Practice Fax:

Directions to “ MS. COLLEEN M LEWIS MFT, ATR” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.