Michele Lewis

Individual provider Active NPI Case Manager/Care Coordinator · Lake Butler, FL

NPI 1609374131 · NPPES record last updated Oct 8, 2018

Key facts

NPI
1609374131
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
10 W Main St
Lake Butler, FL 32054
Phone
(352) 538-3577
NPI assigned
Jan 30, 2018
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
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

10 W Main St
Lake Butler, FL 32054

Mailing address

4300 SW 13TH St
Gainesville, FL 32608-4006
Phone (904) 318-1476

Other practice location 1

1009 Maitland Center Commons Blvd Ste 212
Maitland, FL 32751-7270
Phone (904) 318-1476

Other practice location 2

10 W Main St
Lake Butler, FL 32054-1638
Phone (352) 538-3577

Other providers in Lake Butler, FL

All providers in Lake Butler, FL · Case Manager/Care Coordinator in Florida

Sources for this page

Verify at the official NPI Registry.