Organization
OLD TOWNE WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JERI D LEWIS LPC (OWNER)
(804) 938-8884
Entity
Organization
Contact information
Practice address
7489 RIGHT FLANK RD STE 330, MECHANICSVILLE, VA 23116-3845
(804) 938-8884
(804) 789-8881
Mailing address
7489 RIGHT FLANK RD STE 330, MECHANICSVILLE, VA 23116-3845
(804) 938-8884
(804) 789-8881
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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