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NPI Code Detail

MEDICARE: KIMBERLEY G LEWIS MA, CRC, LPCC, NCC

MEDICARE: KIMBERLEY G LEWIS MA, CRC, LPCC, NCC
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
1101YP2500XProfessional Counselor2668AL
2101YP2500XProfessional CounselorE1300232OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659520989
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLEY G LEWIS MA, CRC, LPCC, NCC
Provider Business Mailing Address
First Line : 4449 EASTON WAY STE 200
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-7005
Country : US
Telephone Number : 614-383-8489
Fax Number :
Provider Business Practice Location Address
First Line : 4449 EASTON WAY STE 200
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-7005
Country : US
Telephone Number : 614-869-4846
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2008
Last Update Date : 08/03/2022

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