Organization
CENTER FOR LIFE ENRICHMENT, ADVANCEMENT, AND RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE B LEWIS MS, LMHC (OWNER)
(219) 789-3423
Entity
Organization
Contact information
Practice address
1325 W 98TH AVE, CROWN POINT, IN 46307-2465
(219) 789-3423
Mailing address
1325 W 98TH AVE, CROWN POINT, IN 46307-2465
(219) 789-3423
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
12/20/2024
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