| Lewis Mental Health Services | |
|
8531 O Keefe Dr Severn MD 21144 | |
| (443) 703-8034 | |
| Not Available |
| Full Name | Lewis Mental Health Services |
|---|---|
| Speciality | Counselor |
| Location | 8531 O Keefe Dr, Severn, Maryland |
| Authorized Official Name and Position | Gregory Lewis (CEO) |
| Authorized Official Contact | 4437038034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewis Mental Health Services 8531 O Keefe Dr Severn MD 21144 Ph: () - | Lewis Mental Health Services 8531 O Keefe Dr Severn MD 21144 Ph: (443) 703-8034 |
| NPI Number | 1639880370 |
|---|---|
| Provider Enumeration Date | 12/13/2022 |
| Last Update Date | 12/13/2022 |
| Certification Date | 12/12/2022 |
| Medicare PECOS PAC ID | 1254703549 |
|---|---|
| Medicare Enrollment ID | O20230215000613 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639880370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Gregory Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952964777 PECOS PAC ID: 3577935873 Enrollment ID: I20230215000955 |
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