Provider Demographics
NPI:1609763697
Name:LEWIS, ADAM PATRICK (LPC-A)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:PATRICK
Last Name:LEWIS
Suffix:
Gender:M
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3129 CLEARBROOK PL
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938-7372
Mailing Address - Country:US
Mailing Address - Phone:817-422-7789
Mailing Address - Fax:
Practice Address - Street 1:3129 CLEARBROOK PL
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79938-7372
Practice Address - Country:US
Practice Address - Phone:817-422-7789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-21
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99229101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional