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RODERICK JERMAINE LEWIS
NPI 1669992939
Counselor - Mental Health in Shreveport, LA

Active since June 27, 2017
2915 MACKEY LANE, SHREVEPORT, LA 71118(318) 518-9002 Get Directions Write a Review

NPPES record last updated: June 27, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Roderick Jermaine Lewis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RODERICK JERMAINE LEWIS (NPI 1669992939) is an individual mental health provider in Shreveport, Louisiana and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1669992939
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameRODERICK JERMAINE LEWIS
Location Address2915 MACKEY LANEShreveport, LA 71118-0000
Mailing Address8533 Roitan DrShreveport, LA 71106-5813 · (318) 518-9002
Phone(318) 518-9002
Sole ProprietorYes
Enumeration DateJune 27, 2017
✔ NPI 1669992939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2915 MACKEY LANE, Shreveport, LA 71118
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roderick Lewis's NPI number?

The NPI number for Roderick Lewis is 1669992939. It was assigned to this individual provider in the NPPES registry on June 27, 2017.

Where is Roderick Lewis located?

Roderick Lewis practices at 2915 Mackey Lane, Shreveport, LA 71118. The listed phone number is (318) 518-9002.

What is Roderick Lewis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Roderick Lewis was last updated on June 27, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.