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NPI Code Detail

MEDICARE: HADIYAH SIMONE LEWIS LPCA

MEDICARE:   HADIYAH SIMONE LEWIS  LPCA
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
1101YM0800XMental Health Counselor9306SC
2101YM0800XMental Health Counselor7858SC
3101YP2500XProfessional Counselor9306SC

General Provider Information

NPI Number : 1295494631
Entity Type Code : Individual
Provider Name (Legal Business Name) : HADIYAH SIMONE LEWIS LPCA
Provider Business Mailing Address
First Line : 7901 FARROW RD
Second Line :
City : COLUMBIA
State : SC
Zip : 29203-3220
Country : US
Telephone Number : 803-529-8894
Fax Number :
Provider Business Practice Location Address
First Line : 137 ROSEBERRY LN APT 2215
Second Line :
City : COLUMBIA
State : SC
Zip : 29223-2866
Country : US
Telephone Number : 803-529-8894
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2021
Last Update Date : 02/20/2025

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Directions to “ HADIYAH SIMONE LEWIS LPCA” Practice Location

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