Individual
TYRONE A LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QMHS 3
Contact information
Practice address
5553 CHATFORD DR APT A, COLUMBUS, OH 43232-3081
(614) 359-6538
Mailing address
5553 CHATFORD DR APT A, COLUMBUS, OH 43232-3081
(614) 359-6538
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OH
175T00000X
Peer Specialist
APS.007136
—
251B00000X
Case Management Agency
—
OH
251S00000X
Community/Behavioral Health Agency
Primary
—
OH
Other
Enumeration date
09/20/2025
Last updated
02/19/2026
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