MEDICARE: CHRISTIA J. LEWIS LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	6401007883	MI
2	101YP2500X	Professional Counselor	LPC-12932	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013974914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTIA J. LEWIS LPC

Provider Business Mailing Address
First Line	:	1400 E SOUTHERN AVE
Second Line	:	STE. 735
City	:	TEMPE
State	:	AZ
Zip	:	85282-5691
Country	:	US
Telephone Number	:	480-804-0326
Fax Number	:	480-804-0083

Provider Business Practice Location Address
First Line	:	2120 S MCCLINTOCK DR
Second Line	:	SUITE 105
City	:	TEMPE
State	:	AZ
Zip	:	85282-2692
Country	:	US
Telephone Number	:	480-804-0326
Fax Number	:	480-804-0083

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	04/23/2017

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Directions to “ CHRISTIA J. LEWIS LPC” Practice Location

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