Individual
MELISSA LYNN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1765 ARDEN LN, CONWAY, AR 72034-3550
(501) 410-4012
Mailing address
1765 ARDEN LN, CONWAY, AR 72034-3550
(501) 410-4012
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A1409130
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/16/2012
Last updated
09/23/2014
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