Individual provider · Type 1 NPI

Rosa Lewis

Mental Health Counselor · Detroit, MI

NPI number 1194609875 Active

Practice location

15560 Joy Rd
Detroit, MI 48228-8200

Mailing address

20309 Fenmore St
Detroit, MI 48235-2295

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Professional Counselor 101YP2500XNone listed
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1194609875

Rosa Lewis's National Provider Identifier is 1194609875, issued on Aug 4, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Detroit, MI. The record was last updated on Sep 5, 2025.