Healthcare Provider Details

I. General information

NPI: 1326570854
Provider Name (Legal Business Name): KIMBERLY D LEWIS LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KIMBERLY DAWN ARNOLD-LEWIS LPC, NCC

II. Dates (important events)

Enumeration Date: 04/03/2017
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 BRENDAN WAY STE 120
GREENVILLE SC
29615-3562
US

IV. Provider business mailing address

3835 N FREEWAY BLVD STE 100
SACRAMENTO CA
95834-1954
US

V. Phone/Fax

Practice location:
  • Phone: 916-576-7900
  • Fax:
Mailing address:
  • Phone: 864-549-6191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.7398
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: