# LAKE MARTIN FAMILY THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497904312
- **Authorized official:** KAREN C. LEWIS LMFT, LCSW (MEMBER/OWNER)
- **Authorized official phone:** (256) 625-9514

## Contact information

- **Practice address:** 393 GREEN ST, ALEXANDER CITY, AL 35010-1407
- **Practice address phone:** (256) 625-9514
- **Practice address fax:** (256) 825-6418
- **Mailing address:** PO BOX 911, ALEXANDER CITY, AL 35011-0911
- **Mailing address phone:** (256) 625-9514
- **Mailing address fax:** (256) 825-6418

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 2121C | AL | Yes |
| 106H00000X | Marriage & Family Therapist | L 299 | AL | — |

## Other

- **Enumeration date:** 09/16/2008
- **Last updated:** 09/16/2008