Lewis, Katrina Marie

Lewis, Katrina Marie is an individual health care provider with primary practice located at 611 Mcdowell Ave Nw , Roanoke VA 24016-1225. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Lewis, Katrina Marie can be contacted via phone (540) 343-3007.

Contact Information

Primary practice address
611 Mcdowell Ave Nw Roanoke VA 24016-1225
Fax: (540) 266-9204
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0701006046 Virginia

Profile Details

NPI number 1538559521
LBN Legal business name Lewis, Katrina Marie
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2015
Last updated Jan 28th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538559521 NPPES
Virginia MEDICAID 1437137734

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