DR. PHILLIP DERRELL LEWIS PH.D. CRC LADC NPI 1568712701

NPI Information

NPI: 1568712701
Provider Name: DR. PHILLIP DERRELL LEWIS, PH.D., CRC, LADC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1301 MARTIN LUTHER KING BLVD
OKLAHOMA CITY, OK
ZIP 73117
Phone: (405) 424-0007
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DR. Phillip Derrell Lewis, PH.D., CRC, LADC is a mental health counselor in Oklahoma City, OK. DR. Phillip Derrell Lewis, PH.D., CRC, LADC NPI is 1568712701. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1301 MARTIN LUTHER KING BLVD
OKLAHOMA CITY, OK
ZIP 73117-235
Phone: (405) 424-0007
Fax: (405) 424-6507

The enumeration date for this NPI number is 9/14/2012 and was last updated on 9/14/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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