Individual provider · Type 1 NPI

Charissee Jena Lewis, DOCTORATE OF DIVINIT

Pastoral Counselor · West Bloomfield, MI

NPI number 1083577753 Active

Practice location

5727 Royal Wood
West Bloomfield, MI 48322-2069

Specialties and licenses

TaxonomyCodeLicense
Pastoral Counselor Primary 101YP1600XNone listed

Pastoral Counselor: Definition to come...

About NPI 1083577753

Charissee Jena Lewis, DOCTORATE OF DIVINIT's National Provider Identifier is 1083577753, issued on Dec 8, 2025. The primary taxonomy on file is Pastoral Counselor (101YP1600X), and the practice location is in West Bloomfield, MI. The record was last updated on Dec 8, 2025.