PATRICIA MARIE LEWIS NPI 1679942080

NPI Information

NPI: 1679942080
Provider Name: PATRICIA MARIE LEWIS
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Individual
Address:
1852 W GRAND BLVD
DETROIT, MI
ZIP 48208
Phone: (313) 894-8444
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Patricia Marie Lewis is a substance abuse rehabilitation facility in Detroit, MI. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. Patricia Marie Lewis NPI is 1679942080. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1852 W GRAND BLVD
DETROIT, MI
ZIP 48208-006
Phone: (313) 894-8444
Fax: (313) 894-5542

The enumeration date for this NPI number is 9/16/2015 and was last updated on 9/16/2015.

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)	L528696	MICHIGAN	No
2	324500000X	Substance Abuse Rehabilitation Facility			MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	38-1917278	MEDICAID	MICHIGAN

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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