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NPI Code Detail

MEDICARE: MONIQUE LEWIS

MEDICARE: MONIQUE LEWIS
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
1101Y00000XCounselorIC-2919NV

General Provider Information

NPI Number : 1437771144
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONIQUE LEWIS
Provider Business Mailing Address
First Line : 7800 S RAINBOW BLVD APT 2104
Second Line :
City : LAS VEGAS
State : NV
Zip : 89139-6214
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5584 S FORT APACHE RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-7657
Country : US
Telephone Number : 702-582-9613
Fax Number : 888-506-8728
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2020
Last Update Date : 02/26/2026

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Directions to “ MONIQUE LEWIS ” Practice Location

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