Jasmine Capri Lewis

Individual provider Active NPI Mental Health Counselor · Independence, LA

NPI 1336698570 · NPPES record last updated Sep 29, 2016

Key facts

NPI
1336698570
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
50 Nichols Dr
Independence, LA 70443-4770
Phone
(985) 474-9728
NPI assigned
Sep 29, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

50 Nichols Dr
Independence, LA 70443-4770

Mailing address

50 Nichols Dr
Independence, LA 70443-4770
Phone (985) 474-9728

Other providers in Independence, LA

All providers in Independence, LA · Mental Health Counselor in Louisiana

Sources for this page

Verify at the official NPI Registry.