Lewis, Khadijah

Lewis, Khadijah is an individual health care provider with primary practice located at 113 Whitsett St , Greenville SC 29601-3138. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Lewis, Khadijah can be contacted via phone (864) 520-1614.

Contact Information

Primary practice address
113 Whitsett St Greenville SC 29601-3138
Fax: (864) 484-8458
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 21-152280 South Carolina

Profile Details

NPI number 1477143907
LBN Legal business name Lewis, Khadijah
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2021
Last updated Jan 19th, 2021 - about 3 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.

Request for update

Popular Providers