Lewis, Susanna

Lewis, Susanna is an individual health care provider with primary practice located at 708 S Chestnut St , Gastonia NC 28054-4548. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Lewis, Susanna can be contacted via phone (252) 531-7822.

Contact Information

Primary practice address
708 S Chestnut St Gastonia NC 28054-4548
Phone: (252) 531-7822
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1688 North Carolina

Profile Details

NPI number 1750682134
LBN Legal business name Lewis, Susanna
Credentials LCAS, LPCA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2010
Last updated Oct 7th, 2015 - about 10 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 1750682134 NPPES
North Carolina MEDICAID 101Y00000X

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