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NPI Code Detail

MEDICARE: SHARLEEKA LEWIS

MEDICARE:   SHARLEEKA  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
1101YA0400XAddiction (Substance Use Disorder) Counselor293811KY

General Provider Information

NPI Number : 1811868359
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARLEEKA LEWIS
Provider Business Mailing Address
First Line : 2801 VIRGINIA AVE UNIT 2
Second Line :
City : LOUISVILLE
State : KY
Zip : 40211-3418
Country : US
Telephone Number : 502-963-5677
Fax Number :
Provider Business Practice Location Address
First Line : 2801 VIRGINIA AVE UNIT 2
Second Line :
City : LOUISVILLE
State : KY
Zip : 40211-3418
Country : US
Telephone Number : 502-963-5677
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2025
Last Update Date : 09/17/2025

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Directions to “ SHARLEEKA LEWIS ” Practice Location

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