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Provider Information for 1306130166


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Ms. STEPHANIE ROSEMARIE LEWIS LPCC-S


Sex: Female

NPI: 1306130166
Last Updated: 2021-10-04
Certification Date: 2021-10-04

Details

NameValue
NPI1306130166
Enumeration Date2011-06-08
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 22001 FAIRMOUNT BLVD
SHAKER HEIGHTS, OH 44118-4819
United States

Phone: 216-320-8386 | Fax:
 
Primary Practice Address 22001 FAIRMOUNT BLVD
SHAKER HEIGHTS, OH 44118
United States

Phone: 216-320-8386 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 261QH0100X - Clinic/Center - Health ServicesOHE.1100027-SUPV
No 261QM0801X - Clinic/Center - Mental Health (Including Community Mental Health Center)OHE.1100027-SUPV
No 261QM0850X - Clinic/Center - Adult Mental HealthOHE.1100027-SUPV
No 261QM0855X - Clinic/Center - Adolescent and Children Mental HealthOHE.1100027-SUPV
No 261QM2500X - Clinic/Center - Medical SpecialtyOHE.1100027-SUPV
No 261QF0050X - Clinic/Center - Family Planning, Non-SurgicalOHE.1100027-SUPV
No 261QC1500X - Clinic/Center - Community HealthOHE.1100027-SUPV
No 101Y00000X - Counselor OHC.1100027-TRNE
No 101YA0400X - Counselor - Addiction (Substance Use Disorder)OHE.1100027-SUPV
No 207P00000X - Emergency Medicine OHE.1100027-SUPV
No 251B00000X - Case Management OHE.1100027-SUPV
Yes 251S00000X - Community/Behavioral Health OHE.1100027-SUPV