VICTOR LEWIS JR. (NPI# 1164874350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164874350 |
| Entity Type | Individual |
| Full Name | VICTOR LEWIS JR. |
| Practice Address |
1705 Felicia Drive Tallulah LOUISIANA 71282 UM |
| Mailing Address |
1705 Felicia Ave Tallulah LA 71282-8203 |
| Practice Telephone | 3185741232 |
| Mailing Telephone | 3185741232 |
| Mailing Fax Number | 3185748646 |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1705 FELICIA DRIVE |
| City | TALLULAH |
| State | LOUISIANA |
| Zip Code | 71282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211140 | Adonis Williams | Counselor | 410 E Askew Street, Tallulah, LA 71282 | 2020-09-30 |
| 1154957272 | Renewed Path Counseling Services LLC | Community/Behavioral Health | 602 Wood St Suite A, Richmond, LA 71282 | 2020-03-20 |
| 1639632136 | Ljconsulting & Professional Services, LLC | Counselor | 809 Bailey Rd., Tallulah, LA 71282 | 2019-04-11 |
| 1982120937 | Chryl Smith Lee | Counselor | 1705 W Feliciana Ave, Talullah, LA 71282 | 2017-08-21 |
| 1730619347 | Carmen Larae Allen | Counselor | 805 N Beech Street, Tallulah, LA 71282 | 2017-06-15 |
| 1205365665 | Brittney Vontres Scott | Case Manager/Care Coordinator | 1705 Felicia Avenue, Tallulah, LA 71282 | 2017-06-08 |
| 1427500123 | Sharon Jackson | Case Manager/Care Coordinator | 1000 S Elm St, Tallulah, LA 71282 | 2016-10-28 |
| 1982152989 | John Tanner Mcdonald | Pharmacist | 402 East Darrow Street, Tallulah, LA 71282 | 2016-09-19 |
| 1356797492 | Keisha Prosser | Case Manager/Care Coordinator | 1705 Felicia Aveune, Tallulah, LA 71282 | 2016-05-08 |
| 1265803811 | Tamesha Thompson | Counselor | 805 North Beech St, Tallulah, LA 71282 | 2015-10-08 |
| Find all providers in zip 71282 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568089274 | Irving O Grayson Jr. | Counselor | 805 N Beech Street Suite 2, Tallulah, LA 71282-7128 | 2020-06-29 |
| 1093325078 | Tyna Louise Perry | Counselor | 805 N Beech St Ste 2, Tallulah, LA 71282-3809 | 2020-08-05 |
| 1528682960 | Alexis Monae Glover | Counselor | 805 N Beech St Ste 2, Tallulah, LA 71282-3809 | 2020-06-02 |
| 1760971527 | Elisha Rene Thomas | Counselor | 910 Louisiana St, Tallulah, LA 71282-5036 | 2018-05-08 |
| 1184125023 | Brenda Baham | Counselor | 1705 Felicia Ave, Tallulah, LA 71282 | 2018-02-26 |
| 1366956369 | Annie Gibson | Counselor | 1705 Felicia Ave, Tallulah, LA 71282-8203 | 2017-11-29 |
| 1427560473 | Tarayla Lashaun Brooks | Counselor | 1705 Felicia Ave, Tallulah, LA 71282 | 2017-10-31 |
| 1386169951 | Ebony Princess Rice-caston | Counselor | 1705 Felicia Ave, Tallulah, LA 71282-8203 | 2017-08-04 |
| 1992229173 | Marcy Booker Robertson | Counselor | 1705 Felicia Ave, Tallulah, LA 71282-8203 | 2017-07-31 |
| 1679095087 | Elric Jones | Counselor | 1705 Felicia Ave, Tallulah, LA 71282-8203 | 2017-07-07 |
| Find all providers in TALLULAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.