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PATRICIA MARIE LEWIS
NPI 1679942080
Substance Abuse Rehabilitation Facility in Detroit, MI

Active since September 16, 2015
1852 W GRAND BLVD, DETROIT, MI 48208(313) 894-8444(313) 894-5542 Get Directions Write a Review

NPPES record last updated: September 16, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Patricia Marie Lewis NPPES

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

PATRICIA MARIE LEWIS (NPI 1679942080) is an individual substance abuse rehabilitation facility provider in Detroit, Michigan and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1679942080
Entity TypeIndividualFemale
Primary Taxonomy324500000X
Provider Legal NamePATRICIA MARIE LEWIS
Location Address1852 W GRAND BLVDDetroit, MI 48208-1006
Mailing Address1852 W Grand BlvdDetroit, MI 48208-1006 · (313) 894-8444 · Fax (313) 894-5542
Phone(313) 894-8444
Fax(313) 894-5542
Sole ProprietorYes
Enumeration DateSeptember 16, 2015
✔ NPI 1679942080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License L528696 (MI)
1852 W GRAND BLVD, Detroit, MI 48208
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Other Identifiers 1

Medicaid38-1917278MI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. BRIAN R COGLIATI
Counselor (Addiction (Substance Use Disorder))
1852 W GRAND BLVD, 1852 W. GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 894-8444
MS. AMIE P LEWIS
Counselor (Addiction (Substance Use Disorder))
1852 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 894-8444
MR. RONALD GERVIN
Counselor (Addiction (Substance Use Disorder))
1852 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 894-8444
MR. ARTHUR KENYATTA GARRETT SR. M.A
Counselor
1852 W GRAND BLVD
DETROIT, MI 48208
Wayne County (517) 402-7444
LEE ZINSKY MA
Counselor (Addiction (Substance Use Disorder))
1852 W GRAND BLVD
DETROIT, MI 48208
Wayne County (586) 983-2670
DERRICK F HALE
Community Health Worker
1852 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 894-8444
MR. DONALD E PHILLIPS
Counselor (Addiction (Substance Use Disorder))
1852 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 894-8444
RAE HARRIS
Counselor (Addiction (Substance Use Disorder))
1852 W GRAND BLVD
DETROIT, MI 48208
Wayne County (586) 983-2670

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 Patricia Lewis's NPI number?

The NPI number for Patricia Lewis is 1679942080. It was assigned to this individual provider in the NPPES registry on September 16, 2015.

Where is Patricia Lewis located?

Patricia Lewis practices at 1852 W Grand Blvd, Detroit, MI 48208. The listed phone number is (313) 894-8444.

What is Patricia Lewis's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Patricia Lewis was last updated on September 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.