Individual
TISHAWNA CHAREE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
908 HESSTON DR, LOCUST GROVE, GA 30248-1104
(661) 204-2156
Mailing address
908 HESSTON DR, LOCUST GROVE, GA 30248-1104
(661) 204-2156
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
119259
CA
106H00000X
Marriage & Family Therapist
205983
TX
106H00000X
Marriage & Family Therapist
IMF96290
CA
106H00000X
Marriage & Family Therapist
MFT002207
GA
Other
Enumeration date
09/29/2014
Last updated
07/30/2025
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