Individual
ELAINE W LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
5248 SOUTHERN BLVD, YOUNGSTOWN, OH 44512-2242
(330) 881-0934
Mailing address
152 ARGYLE AVE, BOARDMAN, OH 44512-2316
(330) 788-7896
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E0003599
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000306223
ANTHEM BLUE CROSS & BLUE
OH
Enumeration date
07/19/2007
Last updated
09/27/2016
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