Lewis, Phillip Derrell

Lewis, Phillip Derrell is an individual health care provider with primary practice located at 1301 Martin Luther King Blvd , Oklahoma City OK 73117-4235. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Lewis, Phillip Derrell can be contacted via phone (405) 424-0007.

Contact Information

Primary practice address
1301 Martin Luther King Blvd Oklahoma City OK 73117-4235
Phone: (405) 424-0007
Fax: (405) 424-6507
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1568712701
LBN Legal business name Lewis, Phillip Derrell
Credentials PH.D., CRC, LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2012
Last updated Sep 14th, 2012 - about 14 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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