Individual
ELIZABETH LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
1814 8TH AVE # 101-103B, FORT WORTH, TX 76110-1354
(817) 781-3735
Mailing address
5112 COLLINWOOD AVE, FORT WORTH, TX 76107-3608
(682) 308-4038
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
64678
TX
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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