Lewis-Jack, Ometha O

Lewis-Jack, Ometha O is an sole proprietor health care provider with primary practice located at 2918 Minnesota Ave Se , Washington DC 20019-1127. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Lewis-Jack, Ometha O can be contacted via phone (202) 629-2964.

Contact Information

Primary practice address
2918 Minnesota Ave Se Washington DC 20019-1127
Phone: (202) 629-2964
Fax: (877) 735-1149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PSY1835 District of Columbia
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY1835 District of Columbia
Behavioral Health & Social Service Providers / Family 103TF0000X PSY1835 District of Columbia
Behavioral Health & Social Service Providers / Forensic 103TF0200X PSY1835 District of Columbia

Profile Details

NPI number 1851736144
LBN Legal business name Lewis-Jack, Ometha O
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2013
Last updated May 1st, 2013 - about 12 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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