Individual
CHARLES LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 YOUREE DR, SHREVEPORT, LA 71101-5117
(318) 675-0804
(318) 425-9030
Mailing address
3625 YOUREE DR, SHREVEPORT, LA 71105-2121
(318) 742-3408
(318) 841-1210
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/14/2018
Last updated
02/10/2022
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