Individual
SHANA M BRUMFIELD LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
126 N STREET DR, BROOKHAVEN, MS 39601-2138
(601) 748-5005
Mailing address
126 N STREET DR, BROOKHAVEN, MS 39601-2138
(601) 748-5005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
150116727
IL
1041C0700X
Clinical Social Worker
150116727
IL
Other
Enumeration date
03/18/2024
Last updated
07/23/2025
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