Healthcare Provider Details

I. General information

NPI: 1154340438
Provider Name (Legal Business Name): DANELL LEE LEWIS LCSW AND LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36000 DARNALL LOOP CARL R. DARNALL ARMY MEDICAL CENTER
FORT HOOD TX
76544
US

IV. Provider business mailing address

36000 DARNALL LOOP CARL R. DARNALL ARMY MEDICAL CENTER
FORT HOOD TX
76544
US

V. Phone/Fax

Practice location:
  • Phone: 254-288-6474
  • Fax: 254-288-8879
Mailing address:
  • Phone: 254-288-6474
  • Fax: 254-288-8879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1079
License Number StateSD
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1050
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: