Individual
REILLY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
8 MYRTLE AVE, WESTPORT, CT 06880-3511
(203) 908-5603
Mailing address
536 MIDLAND ST, BRIDGEPORT, CT 06605-3347
(203) 803-6661
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
25WK-39LL-RRS2
CT
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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