Individual provider · Type 1 NPI
Melissa Lynn Lewis, LAC
Mental Health Counselor · Conway, AR
NPI number
1407190200
Active
Practice location
1765 Arden Ln
Conway, AR 72034-3550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | A1409130 (AR) |
Mental Health Counselor: Definition to come...
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About NPI 1407190200
Melissa Lynn Lewis, LAC's National Provider Identifier is 1407190200, issued on Nov 16, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Conway, AR. The record was last updated on Sep 23, 2014.