Organization
LATRICE R. LEWIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATRICE R. LEWIS MA, LPC (LICENSED PROFESSIONAL COUNSELOR)
(215) 687-7050
Entity
Organization
Contact information
Practice address
390 COMMERCE DR # 340, FORT WASHINGTON, PA 19034-2600
(215) 687-7050
(215) 330-4008
Mailing address
PO BOX 4044, PHILADELPHIA, PA 19118-8044
(215) 687-7050
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/04/2019
Last updated
02/05/2026
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