Individual
ELIZABETH LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 LANIER AVE W STE 103B, FAYETTEVILLE, GA 30214-7640
(404) 800-4002
Mailing address
500 LANIER AVE W STE 103B, FAYETTEVILLE, GA 30214-7640
(404) 436-7345
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC015808
GA
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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