Provider Demographics
NPI:1861837510
Name:FOSTER, LEWIS NEWELL (BA NCAC-II CCS EAP)
Entity Type:Individual
Prefix:MR
First Name:LEWIS
Middle Name:NEWELL
Last Name:FOSTER
Suffix:
Gender:M
Credentials:BA NCAC-II CCS EAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2076
Mailing Address - Street 2:
Mailing Address - City:HARTSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29551-2076
Mailing Address - Country:US
Mailing Address - Phone:843-332-4156
Mailing Address - Fax:843-332-4159
Practice Address - Street 1:510 E CAROLINA AVE
Practice Address - Street 2:
Practice Address - City:HARTSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29550-4312
Practice Address - Country:US
Practice Address - Phone:843-332-4156
Practice Address - Fax:843-332-4159
Is Sole Proprietor?:No
Enumeration Date:2013-05-08
Last Update Date:2013-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC33739101YA0400X
SC1210023101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)