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NPI Code Detail

MEDICARE: MR. STEPHEN LEWIS LMHC

MEDICARE:  MR. STEPHEN  LEWIS  LMHC
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
1101YM0800XMental Health Counselor004672-1NY

General Provider Information

NPI Number : 1811277718
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STEPHEN LEWIS LMHC
Provider Business Mailing Address
First Line : 397 8TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-3604
Country : US
Telephone Number : 917-723-4685
Fax Number :
Provider Business Practice Location Address
First Line : 397 8TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-3604
Country : US
Telephone Number : 917-723-4685
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2011
Last Update Date : 08/23/2011

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Directions to “ MR. STEPHEN LEWIS LMHC” Practice Location

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