Provider Demographics
NPI:1497311328
Name:ATKINS-LEWIS, LAKISHA (MA, LLMFT)
Entity Type:Individual
Prefix:MRS
First Name:LAKISHA
Middle Name:
Last Name:ATKINS-LEWIS
Suffix:
Gender:F
Credentials:MA, LLMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 BEACH ST
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48503-3751
Mailing Address - Country:US
Mailing Address - Phone:810-288-7361
Mailing Address - Fax:
Practice Address - Street 1:1505 BEACH ST
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503-3751
Practice Address - Country:US
Practice Address - Phone:810-288-7361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-16
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4101006850106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist