Individual
AMANDA KAY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, CADC
Contact information
Practice address
1407 W MCMILLAN RD STE 120, MERIDIAN, ID 83646-5168
(208) 315-6717
(208) 315-6718
Mailing address
PO BOX 1662, MERIDIAN, ID 83680-1662
(208) 315-6717
(208) 315-6718
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11506
ID
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
LCPC-8331097
ID
101YM0800X
Mental Health Counselor
LPC-7988
ID
Other
Enumeration date
11/22/2019
Last updated
08/08/2025
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