Lewis, Theresa

Lewis, Theresa is an individual health care provider with primary practice located at 4917 Waters Edge Dr Ste 220 , Raleigh NC 27606-2459. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Health Service is her primary health care specialty. Lewis, Theresa can be contacted via phone (919) 622-1303.

Contact Information

Primary practice address
4917 Waters Edge Dr Ste 220 Raleigh NC 27606-2459
Phone: (919) 622-1303
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X 2866 North Carolina
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2866 North Carolina
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Behavioral Health & Social Service Providers / Health 103TH0004X 2866 North Carolina

Profile Details

NPI number 1437334067
LBN Legal business name Lewis, Theresa
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2008
Last updated Mar 17th, 2018 - about 8 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 1437334067 NPPES
North Carolina Other 045WX BCBS

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