Individual
ALEXIS ROSE LEWIS
Active
Individual
ALEXIS ROSE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
4994
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q056455
—
TN
Enumeration date
01/18/2018
Last updated
04/15/2020
Update your record
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