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NPI Code Detail

MEDICARE: SHEILA LEWIS

MEDICARE: SHEILA LEWIS
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 Counselor6401013508MI

General Provider Information

NPI Number : 1780089011
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEILA LEWIS
Provider Business Mailing Address
First Line : 14620 WINTHROP ST
Second Line :
City : DETROIT
State : MI
Zip : 48227-2295
Country : US
Telephone Number : 313-929-2182
Fax Number :
Provider Business Practice Location Address
First Line : 6500 N INKSTER RD
Second Line :
City : DEARBORN HEIGHTS
State : MI
Zip : 48127-1807
Country : US
Telephone Number : 313-929-2182
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2014
Last Update Date : 11/04/2018

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Directions to “ SHEILA LEWIS ” Practice Location

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