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Provider Information for 1811587710


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TIFFANY MICHELLE LEWIS LPC


Sex: Female

NPI: 1811587710
Last Updated: 2021-01-25
Certification Date: 2021-01-25

Details

NameValue
NPI1811587710
Enumeration Date2021-01-25
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 435 SHADY AVE
PITTSBURGH, PA 15206-4560
United States

Phone: 412-363-4220 | Fax:
 
Primary Practice Address 435 SHADY AVE
PITTSBURGH, PA 15206-4560
United States

Phone: 412-363-4220 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Direct Messaging Address
tiffany@alphahouseinc.org
work email
Direct CSV 435 Shady Ave
Pittsburgh, PA 15206-4560
United States
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDPA1007314100002
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101Y00000X - Counselor PAPC011645