Amelia Lewis, LMFT, LCDC-I
Counselor, Mental Health in Lubbock, TX. Individual provider (NPI-1).
NPI number1164046322
StatusActive
Last updated in NPPESJun 3, 2020
Details
- NPI
- 1164046322
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Amelia Lewis
- Credential
- LMFT, LCDC-I
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 3, 2020
- Certification date
- Jun 3, 2020
- Last updated
- Jun 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 203136 | TX | Yes |
Practice location
6520 University Ave Spc 5Lubbock, TX 79413-5811
Phone 214-883-7944
Mailing address
2109 100th StLubbock, TX 79423-7153
Phone 214-883-7944
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