Provider Demographics
NPI:1154816072
Name:LEWIS, CATHY
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:
Last Name:LEWIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CATHY
Other - Middle Name:
Other - Last Name:TOLBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8072 NEW ALBANY CONDIT RD
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-9535
Mailing Address - Country:US
Mailing Address - Phone:614-305-5151
Mailing Address - Fax:614-283-5084
Practice Address - Street 1:8072 NEW ALBANY CONDIT RD
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-9535
Practice Address - Country:US
Practice Address - Phone:614-305-5151
Practice Address - Fax:614-283-5084
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-22
Last Update Date:2022-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health