Lewis, Tamara

Lewis, Tamara is an individual health care provider with primary practice located at 3729 Teays Valley Rd Ste 100 , Hurricane WV 25526-9705. She recently has 3 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 / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Lewis, Tamara can be contacted via phone (304) 760-6040.

Contact Information

Primary practice address
3729 Teays Valley Rd Ste 100 Hurricane WV 25526-9705
Phone: (304) 760-6040
Fax: (304) 760-6042
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 04-306 West Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1438 West Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X 1438 West Virginia

Profile Details

NPI number 1326263393
LBN Legal business name Lewis, Tamara
Credentials LPC, CCAC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated May 12th, 2017 - about 9 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 1326263393 NPPES
West Virginia MEDICAID 1326263393
West Virginia MEDICAID 0214697

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