| Doctor Name: | MS. MARCELLA A LEWIS |
| NPI Number: | 1184714982 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 00688 |
| Business Practice Address: | 2375 Memphis St Suite 208 Hernando, MS - 386321756 |
| Business Phone Number: | 9012300622 |
| Business Fax Number: | 6624490422 |
| Mailing Address: | 2375 Memphis St, Suite 208 HERNANDO |
| State: | MS |
| Postal Code: | 386321756 |
| Phone Number: | 9012300622 |
| Fax Number: | 6624490422 |
| NPI Enumeration Date: | 10/13/2006 |
| NPI Last Update Date: | 10/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 00688 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |