Individual
EVYN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC-S, LICDC
Contact information
Practice address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Mailing address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.1902299
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.161767
OH
101YP2500X
Professional Counselor
6401015075
MI
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0381508
—
OH
Enumeration date
09/08/2014
Last updated
07/14/2025
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