DARRELL WILFORD LEWIS JR. (NPI# 1487171914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487171914 |
| Entity Type | Individual |
| Full Name | DARRELL WILFORD LEWIS JR. |
| Credential | MSW, CSW |
| Practice Address |
321 N Mall Drive Ste. Vw 101 St. George UT 84790 |
| Mailing Address |
321 N Mall Dr Ste Vw101 St George UT 84790-7337 |
| Practice Telephone | 4353190082 |
| Mailing Telephone | 4353190082 |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2017-08-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
269698 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861935959 | Darrell D'wayne Lewis Sr. | Counselor | 543 Stoner Ave, Shreveport, LA 71101-4122 | 2016-11-22 |
| 1265752414 | Darrell Eugene Lewis | Anesthesiology | 196 Thomas Johnson Dr, Suite 215, Frederick, MD 21702-4397 | 2010-06-09 |
| 1881757656 | Darrell Lewis | Pediatrics | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-12-19 |
| 1013014547 | Darrell W Lewis | Dentist | 416 Elm St, Washington, MO 63090-2310 | 2006-09-19 |
| Street Address |
321 N MALL DRIVE STE. VW 101 |
| City | ST. GEORGE |
| State | UT |
| Zip Code | 84790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
| Find all providers in zip 84790 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316162183 | Insight Recovery, LLC | Counselor | 260 West St. George Blvd, St. George, UT 84770 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565803 | Nathaniel A Moore | Counselor | 11764 West Aspen Lane, Loa, UT 84747 | 2020-10-09 |
| 1235751587 | Clara Sobral Hinckley | Counselor | 975 S 250 W Apt A, Provo, UT 84601-5991 | 2020-05-09 |
| 1487275855 | Norman Van Bray | Counselor | 260 W North Lane, Holden, UT 84636 | 2020-04-27 |
| 1972133783 | Aspire365, LLC | Counselor | 772 E 8230 S, Sandy, UT 84094-0679 | 2020-01-21 |
| 1851939011 | Shaunell Young | Counselor | 2264 N 2650 E, 2264 N 2650 E, Layton, UT 84040 | 2019-12-18 |
| 1679120729 | Kristen E Tolman | Counselor | 506 Harvest Moon Dr, Pleasant Grove, UT 84062-3663 | 2019-08-23 |
| 1134788060 | Isaac Curtis | Counselor | 523 Heritage Park Blvd Ste 4, Layton, UT 84041-5611 | 2019-06-13 |
| 1689231094 | Chasity Edwards | Counselor | 491 E Riverside Dr Ste 1a, St George, UT 84790-7052 | 2019-05-21 |
| 1841855632 | Kathy Rekoutis | Counselor | 1397 W 8660 S, West Jordan, UT 84088-9115 | 2019-05-07 |
| 1740845858 | Debra Drabner | Counselor | 164 E 5900 S Ste A101, Murray, UT 84107-7279 | 2019-05-03 |
| Find all providers with the same taxonomy | ||||
| City | ST. GEORGE |
| Zip Code | 84790 |
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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.