Kandi Lewis
Individual provider Active NPI Mental Health Counselor · Adairsville, GA
NPI 1508222803 · NPPES record last updated Jan 4, 2016
Key facts
- NPI
- 1508222803
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 22 Princeton Ave
Adairsville, GA 30103-2659 - Phone
- (678) 381-4198
- NPI assigned
- Jan 4, 2016
- Sex
- Female
- Sole proprietor
- No
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
22 Princeton Ave
Adairsville, GA 30103-2659
Mailing address
22 Princeton Ave
Adairsville, GA 30103-2659
Other providers in Adairsville, GA
- Samuel L Jewett III
- Emily King Johnson
- Andrea Harner Kovacic
- Michael Tyler Land
- David Lane
- Tony U. Lim
- Janna Novotny Lister
- Byron A Littlefield
- Donna Bing Mantooth
- Mona M McBrayer
All providers in Adairsville, GA · Mental Health Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.