Individual
PHYLLIS DENISE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12881 N ROSSER RD, TUSCALOOSA, AL 35405-9033
(205) 567-5298
Mailing address
12881 N ROSSER RD, TUSCALOOSA, AL 35405-9033
(205) 567-5298
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC05323
AL
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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