MEDICARE: CATHY T LEWIS LPC

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	101YP2500X	Professional Counselor	C.0500668	OH

General Provider Information

NPI Number	:	1518001502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHY T LEWIS LPC

Provider Business Mailing Address
First Line	:	1201 SMOKE BURR DR
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43081-4508
Country	:	US
Telephone Number	:	614-392-0176
Fax Number	:

Provider Business Practice Location Address
First Line	:	1115 BETHEL RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-2690
Country	:	US
Telephone Number	:	614-538-0353
Fax Number	:	614-586-1879

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

Provider Enumeration Date	:	02/16/2007
Last Update Date	:	07/08/2007

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Directions to “ CATHY T LEWIS LPC” Practice Location

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