Doctor Name: | SHARON LEWIS |
NPI Number: | 1093833436 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICDC, LSW |
License Number: | 933765 |
Business Practice Address: | 2795 Front St Suite A Cuyahoga Falls, OH - 442211900 |
Business Phone Number: | 3309457100 |
Business Fax Number: | 3309454305 |
Mailing Address: | 2795 Front St, Suite A CUYAHOGA FALLS |
State: | OH |
Postal Code: | 442211900 |
Phone Number: | 3309457100 |
Fax Number: | 3309454305 |
NPI Enumeration Date: | 03/26/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 933765 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |