| Cody S Lewis Counseling Ltd | |
|
100 N Chestnut St Ste 244 Champaign IL 61820-4872 | |
| (217) 402-4877 | |
| Not Available |
| Full Name | Cody S Lewis Counseling Ltd |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 100 N Chestnut St Ste 244, Champaign, Illinois |
| Authorized Official Name and Position | Cody S Lewis (OWNER/THERAPIST) |
| Authorized Official Contact | 2174024877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cody S Lewis Counseling Ltd 100 N Chestnut St Ste 244 Champaign IL 61820-4872 Ph: (217) 402-4877 | Cody S Lewis Counseling Ltd 100 N Chestnut St Ste 244 Champaign IL 61820-4872 Ph: (217) 402-4877 |
| NPI Number | 1215527916 |
|---|---|
| Provider Enumeration Date | 01/26/2021 |
| Last Update Date | 01/26/2021 |
| Certification Date | 01/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215527916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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