Lewis, Mickey L

Lewis, Mickey L is an sole proprietor health care provider with primary practice located at 215 Bluegrass Rd Unit C, Franklin KY 42134-2459. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Lewis, Mickey L can be contacted via phone (270) 253-3722.

Contact Information

Primary practice address
215 Bluegrass Rd Unit C Franklin KY 42134-2459
Phone: (270) 253-3722
Fax: (270) 253-3768
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0060 Kentucky
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0348 Kentucky

Profile Details

NPI number 1508887233
LBN Legal business name Lewis, Mickey L
Credentials LMFT/CADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2006
Last updated Oct 28th, 2013 - about 13 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 1508887233 NPPES
Kentucky MEDICAID 30604011

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