Healthcare Provider Details

I. General information

NPI: 1972876480
Provider Name (Legal Business Name): TISHANNA LEWISON LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2012
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5850 ELLSWORTH AVE STE 210
PITTSBURGH PA
15232-1775
US

IV. Provider business mailing address

121 RANKIN BLVD
RANKIN PA
15104-1136
US

V. Phone/Fax

Practice location:
  • Phone: 412-728-4275
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: