Individual
VIVA S LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
3213 LADSON RD UNIT 1085, LADSON, SC 29456-1749
(980) 748-6248
Mailing address
3213 LADSON RD UNIT 1085, LADSON, SC 29456-1749
(980) 748-6248
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8841
SC
101YP2500X
Professional Counselor
Primary
11814
SC
Other
Enumeration date
02/12/2024
Last updated
03/11/2026
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