Lewis, Amanda R
Lewis, Amanda R is an sole proprietor health care provider with primary practice located at 1405 N Green Mount Rd Ste 230 , O Fallon IL 62269-3494. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lewis, Amanda R can be contacted via phone (618) 334-5571.Contact Information
Primary practice address
1405 N Green Mount Rd Ste 230
O Fallon IL 62269-3494
Phone: (618) 334-5571
Fax: (618) 551-8955
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149.018245 | Illinois |
Profile Details
| NPI number | 1518360171 |
|---|---|
| LBN Legal business name | Lewis, Amanda R |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2014 |
| Last updated | Feb 20th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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