Individual provider · Type 1 NPI

Khadijah Jean-Marie Lewis

Marriage & Family Therapist · Charlotte, NC

NPI number 1083237598 Active

Practice location

6324 Fairview Rd Ste 460
Charlotte, NC 28210-3374

Fax (980) 302-8624

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

  • 6633 Fairview Rd, Charlotte, NC 28210-3321 · (704) 366-1264

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X00268 (NC)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1083237598

Khadijah Jean-Marie Lewis's National Provider Identifier is 1083237598, issued on May 19, 2020. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Charlotte, NC. The record was last updated on Sep 10, 2025.