Janis C Lewis
Individual provider Active NPI Professional Counselor · Chickamauga, GA
NPI 1780028258 · NPPES record last updated Apr 26, 2013
Key facts
- NPI
- 1780028258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC007271 (GA)
- Practice address
- 662 Grand Center Rd
Chickamauga, GA 30707-1854 - Phone
- (423) 718-6322
- NPI assigned
- Apr 26, 2013
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC007271 | GA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC007271 | GA | Yes |
Addresses
Primary practice location
662 Grand Center Rd
Chickamauga, GA 30707-1854
Mailing address
662 Grand Center Rd
Chickamauga, GA 30707-1854
Phone (423) 718-6322
Other providers in Chickamauga, GA
- Maureen Irvin
- Leslie Jackson Carbine
- Leslie Elizabeth Kendrick
- Jason David Lacy
- Karen Leanne Ledford
- Lookout Mountain Community Service
- Lookout Mountain Community Service
- Lookout Mountain Community Service
- Lookout Mountain Community Service
- Lookout Mountain Community Service
All providers in Chickamauga, GA · Professional 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 Apr 26, 2013. 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.