| Doctor Name: | MICHAEL D LEWIS |
| NPI Number: | 1851485544 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | 4600 |
| Business Practice Address: | 356 7th Avenue Mt. Pleasant, SC - 29464 |
| Business Phone Number: | 8438568855 |
| Business Fax Number: | 8438565205 |
| Mailing Address: | 356 7th Avenue, MT. PLEASANT |
| State: | SC |
| Postal Code: | 29464 |
| Phone Number: | 8438568855 |
| Fax Number: | 8438565205 |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 4600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |