Individual
ANDRE COOLIDGE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHP
Contact information
Practice address
1608 S SALCEDO ST, NEW ORLEANS, LA 70125-2854
(504) 821-0053
(504) 821-0054
Mailing address
1608 S SALCEDO ST, NEW ORLEANS, LA 70125-2854
(504) 821-0053
(504) 821-0054
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
003599870
LA
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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