Individual provider · Type 1 NPI

Kassidi Lewis

Professional Counselor · Magnolia, AR

NPI number 1992272744 Active

Practice location

621 E North St
Magnolia, AR 71753-3120

Mailing address

1600 Aldersgate Rd Ste 200
Little Rock, AR 72205-6676

Other practice locations

  • 622 Riverside Dr, Monroe, LA 71201-6211 · (318) 398-0945

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XP2603002 (AR)
Mental Health Counselor 101YM0800XA1812166 (AR)
Mental Health Counselor 101YM0800X7623 (LA)

Professional Counselor: Definition to come...

24 other providers at this address

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About NPI 1992272744

Kassidi Lewis's National Provider Identifier is 1992272744, issued on Oct 30, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Magnolia, AR. The record was last updated on May 4, 2026.