Lewis Support Services LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

LEWIS SUPPORT SERVICES LLC

Practice address

1015 Sunset View CT
Forest, VA 24551-2127

Phone

(434) 609-5600

NPI assigned

Nov 18, 2022

Organization subpart

No

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

Authorized official

Name

Keturah Monique Lewis, BS PSYCHOLOGY

Title

Executive

Phone

(434) 609-5600

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1558070524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 SUNSET VIEW CT",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245512127",
            "telephone_number": "434-609-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 SUNSET VIEW CT",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245512127",
            "telephone_number": "434-609-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-18",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "KETURAH",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "EXECUTIVE",
        "authorized_official_telephone_number": "434-609-5600",
        "authorized_official_credential": "BS PSYCHOLOGY"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4077-001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Miller Layne, MOT
• Samuel Lecates, CRNA
• Rick Don Lee, MD
• Kaitlin Patricia Lefevre, PT, DPT, CSCS
• James Alexander Lenhart, PHARMD
• Sunshine Barlowe Lewis, CD,(DONA)
• Christopher Thomas Libbey, D.D.S
• Susannah Obenchain Lichtenstein, D.O.
• Life Lines Residential Services
• Light Counseling, Inc.

• All providers in Forest, VA
• Developmentally Disabled Services Day Training Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.