Healthcare Provider Details

I. General information

NPI: 1285568451
Provider Name (Legal Business Name): GENEVIEVE MARY LEWIS LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 JUNIPERO SERRA BLVD
DALY CITY CA
94014-3891
US

IV. Provider business mailing address

2001 JUNIPERO SERRA BLVD
DALY CITY CA
94014-3891
US

V. Phone/Fax

Practice location:
  • Phone: 650-991-6200
  • Fax:
Mailing address:
  • Phone: 650-991-6200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number22709
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: