Individual provider · Type 1 NPI

Marisa Lewis

Mental Health Counselor · Chicago, IL

NPI number 1740797778 Active

Practice location

2224 W. Lawrence Ave.
Chicago, IL 60625

Call (312) 636-6109 Map

Mailing address

4435 N Keokuk Ave
Chicago, IL 60630-4201

Other practice locations

  • 4435 N Keokuk Ave, Chicago, IL 60630-4201 · (815) 955-8570

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X178.013577
Mental Health Counselor Primary 101YM0800X180.013270 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1740797778

Marisa Lewis's National Provider Identifier is 1740797778, issued on Dec 28, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Oct 1, 2026.