Kellye Lewis
Counselor, Mental Health in Indianapolis, IN. Individual provider (NPI-1).
NPI number1669190849
StatusActive
Last updated in NPPESAug 15, 2022
Details
- NPI
- 1669190849
- Entity type
- Individual (NPI-1)
- Name
- Kellye Lewis
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 15, 2022
- Certification date
- Aug 15, 2022
- Last updated
- Aug 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
7941 Castleway DrIndianapolis, IN 46250-1953
Phone 317-954-5212
Mailing address
7941 Castleway DrIndianapolis, IN 46250-1953
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