NPI | 1295335958 |
---|---|
Former Legal Business Name | ANNE LEWIS PHD HSPP LLC |
Entity Type | Organization |
Authorized Contact | ANNE LEWIS CEO 317-263-4150 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
103TH0100X Psychologist, Health Service | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2020-10-30 |
Last Update Date | 2020-10-30 |