Individual
DR. TAMIKA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LPC, NCC
Contact information
Practice address
110 MOUNTAIN MAPLE LN, BLYTHEWOOD, SC 29016-7233
(803) 200-1671
Mailing address
110 MOUNTAIN MAPLE LN, BLYTHEWOOD, SC 29016-7233
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7979
SC
101YM0800X
Mental Health Counselor
9612
SC
101YP2500X
Professional Counselor
Primary
7979
SC
101YP2500X
Professional Counselor
Primary
9612
SC
Other
Enumeration date
04/24/2022
Last updated
01/22/2026
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