| Doctor Name: | MS. TERRICKA RENEE LEWIS |
| NPI Number: | 1083965107 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. LLPC |
| License Number: | 6401012926 |
| Business Practice Address: | 21751 Ecorse Rd Taylor, MI - 481801846 |
| Business Phone Number: | 3134064493 |
| Business Fax Number: | |
| Mailing Address: | 5333 Chrysler Dr, DETROIT |
| State: | MI |
| Postal Code: | 482024135 |
| Phone Number: | 3133844929 |
| Fax Number: | |
| NPI Enumeration Date: | 09/28/2012 |
| NPI Last Update Date: | 09/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6401012926 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |