Individual
MAKAYLA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 JOHNSON ST, JENNINGS, LA 70546-3650
(337) 616-0225
Mailing address
210 N LOUISIANA ST, ABBEVILLE, LA 70510-5119
(337) 522-6919
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
721260673
LA
104100000X
Social Worker
16827
LA
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
06/05/2023
Last updated
01/30/2025
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