Wanda Louise Lewis

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401004430 Issued in MI

Practice address

8623 W. Wayne Rd.
Suite 123
Westland, MI 48185

Phone

(734) 367-0469

NPI assigned

Mar 31, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1124481866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8623 W. WAYNE RD. HEGIRA PROGRAMS",
            "address_2": "SUITE 123",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "48185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8623 W. WAYNE RD.",
            "address_2": "SUITE 123",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "48185",
            "telephone_number": "734-367-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "WANDA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401004430",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laran Johnathon Lerner, D.O.
• Barbara Levine-Blase, DO
• Elizabeth Ann Lewan, D.O.
• Giovanna Lewis - Shaw
• Chantal A Lewis
• Jennifer Michelle Lheureux, COTAL
• Yubo Li, DO
• Carolyn Liddell
• Life Practice LLC
• Lifespan Clinical Services-Westland Clinic

• Professional Counselor in Westland, MI
• Providers in Westland, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.