KRYSTAL LEWIS LPC, LCDC, MAC, SAP
NPI 1629480918
Counselor - Professional in Madison, TN
- Individual
- Female
- Counselor
- Professional
About KRYSTAL LEWIS
This page provides the complete NPI Profile along with additional information for Krystal Lewis, a provider established in Madison, Tennessee with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1629480918 assigned on May 2014. The practitioner's primary taxonomy code is 101YP2500X with license number 6314 (TN). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1629480918 Verify this NPI
- Provider Name
- KRYSTAL LEWIS LPC, LCDC, MAC, SAP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1001 PEWTER CT MADISON, TN 37115
- Location Phone
- (931) 255-2418
- Mailing Address
- 1001 PEWTER CT MADISON, TN 37115
- Mailing Phone
- (931) 255-2418
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-21-2014
- Last Update Date
- 01-16-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 6314
- License State
- TN
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | 78459 (TX) |
| 2 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | 12503 (TX) |
| 3 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | 78459 (TX) |
| 4 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | 78459 (TX) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629480918, enumerated as an "individual" on May 21, 2014.
The provider is located at 1001 PEWTER CT MADISON, TN 37115 and the phone number is (931) 255-2418.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
