MEDICARE: LEWIS R SLUSHER LMFT

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	106H00000X	Marriage & Family Therapist	MFT-869-0	HI
2	106H00000X	Marriage & Family Therapist	0717002443	VA

General Provider Information

NPI Number	:	1982472254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEWIS R SLUSHER LMFT

Provider Business Mailing Address
First Line	:	10900 NUCKOLS RD STE 100
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23060-9276
Country	:	US
Telephone Number	:	804-207-6737
Fax Number	:

Provider Business Practice Location Address
First Line	:	10900 NUCKOLS RD STE 100
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23060-9276
Country	:	US
Telephone Number	:	804-207-6737
Fax Number	:

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

Provider Enumeration Date	:	12/18/2023
Last Update Date	:	09/10/2025

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