Individual provider · Type 1 NPI

Ellieton Bobby Lewis

Counselor · Miami Gardens, FL

NPI number 1487203469 Active

Practice location

1825 NW 167th St
Miami Gardens, FL 33056-4838

Fax (305) 623-7893

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1487203469

Ellieton Bobby Lewis's National Provider Identifier is 1487203469, issued on Sep 11, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Miami Gardens, FL. The record was last updated on Sep 11, 2019.