Provider Demographics
NPI:1477263689
Name:LEWIS RECOVERY LLC
Entity Type:Organization
Organization Name:LEWIS RECOVERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHEIF CLINICAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:KUSHNER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:215-275-6755
Mailing Address - Street 1:326 N LEWIS RD
Mailing Address - Street 2:
Mailing Address - City:ROYERSFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19468-1586
Mailing Address - Country:US
Mailing Address - Phone:215-570-6620
Mailing Address - Fax:
Practice Address - Street 1:326 N LEWIS RD STE 200
Practice Address - Street 2:
Practice Address - City:ROYERSFORD
Practice Address - State:PA
Practice Address - Zip Code:19468-1586
Practice Address - Country:US
Practice Address - Phone:215-275-6755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-29
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health