Individual provider · Type 1 NPI

Brandon Scott Lewis

Mental Health Counselor · Tupelo, MS

NPI number 1104190834 Active

Practice location

1502 S Gloster St
Tupelo, MS 38801-6510

Call (662) 844-0047 Map

Fax (662) 844-0780

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104190834

Brandon Scott Lewis's National Provider Identifier is 1104190834, issued on Feb 27, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tupelo, MS. The record was last updated on Feb 27, 2012.