Healthcare Provider Details

I. General information

NPI: 1427471812
Provider Name (Legal Business Name): CRYSTAL LEWIS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/21/2014
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 HIGHTOWER TRL STE 105
SANDY SPRINGS GA
30350-2917
US

IV. Provider business mailing address

1301 HIGHTOWER TRL STE 105
SANDY SPRINGS GA
30350-2917
US

V. Phone/Fax

Practice location:
  • Phone: 334-414-2333
  • Fax:
Mailing address:
  • Phone: 334-414-2333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberCSW006070
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: