Individual
RAVEEN S LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1030 FAYETTEVILLE RD SE, ATLANTA, GA 30316-2921
(404) 486-9034
Mailing address
2222 E WEST CONNECTOR APT 711, AUSTELL, GA 30106-8198
(347) 636-7496
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
GA
Other
Enumeration date
05/23/2021
Last updated
05/23/2021
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