Provider Demographics
NPI:1730480260
Name:LEWIS, BILLIE JO (LPC)
Entity Type:Individual
Prefix:MS
First Name:BILLIE
Middle Name:JO
Last Name:LEWIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 STAN AVE
Mailing Address - Street 2:APT 10
Mailing Address - City:NEW STANTON
Mailing Address - State:PA
Mailing Address - Zip Code:15672-9464
Mailing Address - Country:US
Mailing Address - Phone:724-600-9726
Mailing Address - Fax:
Practice Address - Street 1:115 STAN AVE
Practice Address - Street 2:APT 10
Practice Address - City:NEW STANTON
Practice Address - State:PA
Practice Address - Zip Code:15672-9464
Practice Address - Country:US
Practice Address - Phone:724-600-9726
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-15
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006997101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional