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NPI Code Detail

MEDICARE: MS. ERICA OLIVIA LEWIS AA

MEDICARE: MS. ERICA OLIVIA LEWIS AA
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 Counselor

General Provider Information

NPI Number : 1902324494
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ERICA OLIVIA LEWIS AA
Provider Business Mailing Address
First Line : 2439 MANHATTAN BLVD STE 207
Second Line :
City : HARVEY
State : LA
Zip : 70058-5361
Country : US
Telephone Number : 504-364-8949
Fax Number : 504-364-8968
Provider Business Practice Location Address
First Line : 2439 MANHATTAN BLVD STE 207
Second Line :
City : HARVEY
State : LA
Zip : 70058-5361
Country : US
Telephone Number : 504-364-8949
Fax Number : 504-364-8968
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2017
Last Update Date : 05/14/2024

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