| Doctor Name: | MS. PATRICIA W. LEWIS-SLAYTON |
| NPI Number: | 1215010822 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.S.W., L.M.F.T. |
| License Number: | MT930 |
| Business Practice Address: | 1100-1 S. Ponce De Leon Blvd. St. Augustine, FL - 32084 |
| Business Phone Number: | 9048247733 |
| Business Fax Number: | 9048299768 |
| Mailing Address: | 1100-1 S. Ponce De Leon Blvd., ST. AUGUSTINE |
| State: | FL |
| Postal Code: | 32084 |
| Phone Number: | 9048247733 |
| Fax Number: | 9048299768 |
| NPI Enumeration Date: | 10/24/2006 |
| NPI Last Update Date: | 11/04/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MT930 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |