MEDICARE: MS. CATRINA 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	101YM0800X	Mental Health Counselor	88755	TX

General Provider Information

NPI Number	:	1629586607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CATRINA LEWIS LPC

Provider Business Mailing Address
First Line	:	9618 MADISON AVE
Second Line	:
City	:	TEXAS CITY
State	:	TX
Zip	:	77591-1630
Country	:	US
Telephone Number	:	414-491-0765
Fax Number	:

Provider Business Practice Location Address
First Line	:	3201 FM 2004 RD
Second Line	:
City	:	TEXAS CITY
State	:	TX
Zip	:	77591-2199
Country	:	US
Telephone Number	:	832-802-1963
Fax Number	:

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

Provider Enumeration Date	:	01/12/2018
Last Update Date	:	12/12/2025

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