Lewis, Teresa Lynn
Lewis, Teresa Lynn is an individual health care provider with primary practice located at 829 Chief Eddie Hoffman Hwy , Bethel AK 99559. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lewis, Teresa Lynn can be contacted via phone (907) 543-6199.Contact Information
Primary practice address
829 Chief Eddie Hoffman Hwy
Bethel AK 99559
Phone: (907) 543-6199
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 614 LCSW | Montana |
Profile Details
| NPI number | 1265557375 |
|---|---|
| LBN Legal business name | Lewis, Teresa Lynn |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Aug 13th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265557375 | NPPES |
| Alaska | MEDICAID | MH0150 | |
| Alaska | Other | 614 LCSW |
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