Amber T Lewis LPC PLLC

Organization Active NPI Professional Counselor · Stillwater, OK

NPI 1487880654 · NPPES record last updated Jun 2, 2009

Key facts

NPI
1487880654
Entity type
Organization (NPI type 2)
Primary specialty
Professional Counselor 101YP2500X
License
1710 (OK)
Legal business name
AMBER T LEWIS LPC PLLC
Practice address
2216 W 12TH Ave
Stillwater, OK 74074-5127
Phone
(405) 742-7191
NPI assigned
Jun 2, 2009
Organization subpart
No

Authorized official

Name
Amber Lewis, LPC
Title
Member
Phone
(405) 742-7191

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

2216 W 12th Ave
Stillwater, OK 74074
Phone (405) 377-3766

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YP2500X 1710 OK Yes

Addresses

Primary practice location

2216 W 12TH Ave
Stillwater, OK 74074-5127

Mailing address

2216 W 12TH Ave
Stillwater, OK 74074-5127

Other providers in Stillwater, OK

All providers in Stillwater, OK · Professional Counselor in Oklahoma

Sources for this page

Verify at the official NPI Registry.