Individual
CARMELLA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7333 TRIANGLE DR, STERLING HEIGHTS, MI 48314-2318
(586) 238-4265
Mailing address
PO BOX 610151, PORT HURON, MI 48061-0151
(419) 742-2422
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6801105698
MI
101YM0800X
Mental Health Counselor
6801114122
MI
1041C0700X
Clinical Social Worker
Primary
6801114122
MI
Other
Enumeration date
06/22/2020
Last updated
09/13/2023
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