Latoria Moniek Lewis, LPC-A, NBCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

8278 Issued in SC

Practice address

441 Willie Hodge Rd
Mullins, SC 29574-6142

Phone

(843) 250-4049

NPI assigned

Jun 21, 2023

Last updated

Jun 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1508541038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 WILLIE HODGE RD",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295746142",
            "telephone_number": "843-250-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 WILLIE HODGE RD",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295746142",
            "telephone_number": "843-250-4049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 W Laurel St",
            "address_purpose": "LOCATION",
            "city": "Mullins",
            "state": "SC",
            "postal_code": "295743103",
            "country_code": "US",
            "telephone_number": "843-698-9774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "LATORIA",
        "middle_name": "MONIEK",
        "credential": "LPC-A, NBCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "8278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Mullins, SC
• Providers in Mullins, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.