Individual
DONISHA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SWT
Contact information
Practice address
2211 ARBOR BLVD, MORAINE, OH 45439
(937) 222-9481
Mailing address
2211 ARBOR BLVD, MORAINE, OH 45439-1521
(937) 222-9461
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
S.1700119-TRNE
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0200044
—
OH
Enumeration date
06/27/2018
Last updated
06/11/2019
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