Provider Demographics
NPI:1841219573
Name:CHAMNESS, LEWIS E (LPC)
Entity Type:Individual
Prefix:
First Name:LEWIS
Middle Name:E
Last Name:CHAMNESS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20881 LAKESHORE DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72764-8903
Mailing Address - Country:US
Mailing Address - Phone:479-422-4777
Mailing Address - Fax:479-444-9346
Practice Address - Street 1:7 E COLT SQUARE DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-2884
Practice Address - Country:US
Practice Address - Phone:479-575-0868
Practice Address - Fax:479-444-9346
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP9707014101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional