Provider Demographics
NPI:1649590407
Name:LEWIS, CHRISTY (LCSW)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:
Last Name:LEWIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 S JOHNSON RD
Mailing Address - Street 2:FOXPOINTE CENTRE SUITE 200
Mailing Address - City:HOUSTON
Mailing Address - State:PA
Mailing Address - Zip Code:15342-1351
Mailing Address - Country:US
Mailing Address - Phone:724-745-3010
Mailing Address - Fax:
Practice Address - Street 1:201 S JOHNSON RD
Practice Address - Street 2:FOXPOINTE CENTRE SUITE 200
Practice Address - City:HOUSTON
Practice Address - State:PA
Practice Address - Zip Code:15342-1351
Practice Address - Country:US
Practice Address - Phone:724-745-3010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-03
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0157151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical