MEDICARE: MRS. YOLANDA MICHELLE LEWIS-HARRIS 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	101YA0400X	Addiction (Substance Use Disorder) Counselor	ACC.0006991	CO
2	101YM0800X	Mental Health Counselor	203172062	CO
3	101Y00000X	Counselor	LPC.0004131	CO

General Provider Information

NPI Number	:	1649315722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. YOLANDA MICHELLE LEWIS-HARRIS LPC

Provider Business Mailing Address
First Line	:	6165 LEHMAN DR STE 203-5
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-3441
Country	:	US
Telephone Number	:	719-660-7428
Fax Number	:

Provider Business Practice Location Address
First Line	:	6165 LEHMAN DR STE 203-5
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-3441
Country	:	US
Telephone Number	:	719-660-7428
Fax Number	:

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

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	02/28/2024

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