MEDICARE: MRS. SHANA DENISE LEWIS MS, 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	19710	TX

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

General Provider Information

NPI Number	:	1942490966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHANA DENISE LEWIS MS, LPC

Provider Business Mailing Address
First Line	:	4801 WOODWAY DR
Second Line	:	SUITE 300 EAST
City	:	HOUSTON
State	:	TX
Zip	:	77056-1884
Country	:	US
Telephone Number	:	713-892-5483
Fax Number	:	713-422-2494

Provider Business Practice Location Address
First Line	:	4801 WOODWAY DR
Second Line	:	SUITE 300 EAST
City	:	HOUSTON
State	:	TX
Zip	:	77056-1884
Country	:	US
Telephone Number	:	713-892-5483
Fax Number	:	713-422-2494

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

Provider Enumeration Date	:	07/26/2007
Last Update Date	:	11/02/2011

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