Individual
COURTNIE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5718 HIGHLAND HILLS DR APT 144, DALLAS, TX 75241-4059
(337) 476-1719
Mailing address
5718 HIGHLAND HILLS DR APT 144, DALLAS, TX 75241-4059
(337) 677-4467
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
146D00000X
Personal Emergency Response Attendant
—
—
171400000X
Health & Wellness Coach
—
—
171W00000X
Contractor
—
—
172V00000X
Community Health Worker
—
—
174400000X
Specialist
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
175T00000X
Peer Specialist
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
—
—
374J00000X
Doula
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669971114
NPI
LA
Enumeration date
02/06/2018
Last updated
01/26/2023
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