Individual
LISA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 JENDAN WAY APT 303, PRINCE FREDERICK, MD 20678-3596
(301) 876-7520
Mailing address
200 JENDAN WAY APT 303, PRINCE FREDERICK, MD 20678-3596
(301) 876-7520
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC6871
MD
101YP2500X
Professional Counselor
Primary
LC6871
MD
Other
Enumeration date
06/14/2016
Last updated
02/24/2026
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