Individual
TASHA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
612 E ARKANSAS ST, STAR CITY, AR 71667-4842
(870) 628-4181
(870) 628-5369
Mailing address
2500 RIKE DR, PINE BLUFF, AR 71603-3937
(870) 534-1834
(870) 534-5798
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6989C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116378726
—
AR
Enumeration date
08/24/2010
Last updated
06/21/2016
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