Healthcare Provider Details

I. General information

NPI: 1811821044
Provider Name (Legal Business Name): SM LEWIS MENTAL HEALTH COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

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

81 DORSET AVE
ALBERTSON NY
11507-2117
US

IV. Provider business mailing address

81 DORSET AVE
ALBERTSON NY
11507-2117
US

V. Phone/Fax

Practice location:
  • Phone: 646-294-8811
  • Fax:
Mailing address:
  • Phone: 646-294-8811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. SUSAN MAGGIE LEWIS
Title or Position: PRESIDENT
Credential: LMHC
Phone: 646-294-8811