Lewis, Kimberly Dawn

Lewis, Kimberly Dawn is an individual health care provider with primary practice located at 1634 London Blvd , Portsmouth VA 23704-2137. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Lewis, Kimberly Dawn can be contacted via phone (757) 393-7200.

Contact Information

Primary practice address
1634 London Blvd Portsmouth VA 23704-2137
Fax: (757) 393-7219
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701002807 Virginia

Profile Details

NPI number 1578663886
LBN Legal business name Lewis, Kimberly Dawn
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578663886 NPPES
Virginia Other 0701002807 LPC

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