KELLYE JEAN LEWIS (NPI# 1952815458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952815458 |
| Entity Type | Individual |
| Full Name | KELLYE JEAN LEWIS |
| Credential | MA, LPC, NCC |
| Practice Address |
3821 Southern Ave Shreveport LA 71106-1033 |
| Mailing Address |
108 Colin P Kelly Dr Minden LA 71055-7912 |
| Practice Telephone | 3189468157 |
| Mailing Telephone | 3184026379 |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2017-11-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC6093 | LA | Behavioral Health & Social Service Providers |
| Street Address |
3821 SOUTHERN AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71106-1033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285998716 | Active Recovery LLC | Community/Behavioral Health | 3821 Southern Ave, Active Recovery LLC, Shreveport, LA 71106 | 2012-06-29 |
| 1083239735 | Charles Robert Yates Jr. | Counselor | 3821 Southern Ave, Shreveport, LA 71106-1033 | 2020-06-09 |
| 1689211047 | Constance Darby | Social Worker | 3821 Southern Ave, Shreveport, LA 71106-1033 | 2019-12-04 |
| 1215570650 | Marshall Turner IIi | Counselor | 3821 Southern Ave, Shreveport, LA 71106-1033 | 2019-10-17 |
| 1780153270 | Melissa Troy | Counselor | 3821 Southern Ave, Shreveport, LA 71106-1033 | 2018-11-14 |
| 1093209967 | Robert Francis Conway Jr. | Counselor | 3821 Southern Ave, Shreveport, LA 71106-1033 | 2018-06-14 |
| 1093204554 | Anna-katrina Keco | Counselor | 3821 Southern Ave, Shreveport, LA 71106-1033 | 2018-05-09 |
| 1992225650 | Kathryn Costello | Counselor | 3821 Southern Ave, Shreveport, LA 71106-1033 | 2017-06-23 |
| 1346786373 | Amanda Veuleman | Counselor | 3821 Southern Ave, Shreveport, LA 71106-1033 | 2017-01-14 |
| 1962865279 | Jeremy Lindsay | Counselor | 3821 Southern Ave, Shreveport, LA 71106-1033 | 2016-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
| 1548775885 | David Wayne Spears | Pharmacist | 10460 Norris Ferry Road, Shreveport, LA 71106 | 2017-12-08 |
| 1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
| 1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
| 1144753708 | Laverne Brantley | Counselor | 328 E 69th St, Shreveport, LA 71106 | 2017-04-10 |
| 1437690849 | Biostat Laboratories, LLC | Clinical Medical Laboratory | 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 | 2017-03-17 |
| 1841730728 | Cedric Thomas | Case Manager/Care Coordinator | 6811 Fairfield Avenue, Shreveport, LA 71106 | 2017-02-27 |
| 1225576192 | Nick Vergis | Pharmacist | 5828 Line Avenue, Shreveport, LA 71106 | 2017-02-10 |
| 1184162554 | Marilyn Johnson | Case Manager/Care Coordinator | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-02-06 |
| 1417499740 | Pamela Lee | Counselor | 8802 Coyth Ln, Shreveport, LA 71106 | 2016-11-17 |
| Find all providers in zip 71106 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409313 | Divine Behavioral Health, LLC | Counselor | 8870 Youree Dr Ste 105, Shreveport, LA 71115-2512 | 2020-08-25 |
| 1912519083 | Tashara D Williams | Counselor | 3615 Crestview Cir, Shreveport, LA 71119-6522 | 2020-08-20 |
| 1528689213 | Whitfield Counseling Services | Counselor | 2924 Knight St Ste 410, Shreveport, LA 71105-2413 | 2020-05-04 |
| 1376172908 | Lajuana Stephens | Counselor | 7318 Winder Dr, Shreveport, LA 71129-4013 | 2020-04-06 |
| 1417503723 | Beyond The Crossroads Counseling Center, LLC | Counselor | 3321 Youree Dr Ste E, Shreveport, LA 71105-2123 | 2019-08-13 |
| 1336702950 | Terrance Toney Sr. | Counselor | 272 E 78th St, Shreveport, LA 71106-5602 | 2019-04-18 |
| 1922564327 | Briana A Craige | Counselor | 6009 Financial Plz # 102, Shreveport, LA 71129-2615 | 2019-02-11 |
| 1518434182 | Road To Change | Counselor | 2620 Centenary Blvd Ste 204, Shreveport, LA 71104-3350 | 2018-10-31 |
| 1619455649 | Kindled Keys of Counseling, LLC | Counselor | 1737 Boykin Blvd, Shreveport, LA 71107-6108 | 2018-08-01 |
| 1174040646 | Khakillya Babers Everett | Counselor | 8214 Green Leaf Ln, Shreveport, LA 71108-5738 | 2017-08-25 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71106 |
Please comment or provide details below to improve the information on KELLYE JEAN LEWIS.
| 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.