Provider Demographics
NPI:1134626229
Name:JEAN LEWIS CONSULTING LLC
Entity type:Organization
Organization Name:JEAN LEWIS CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:M
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:307-710-6684
Mailing Address - Street 1:P. O. BOX 163
Mailing Address - Street 2:
Mailing Address - City:ENCAMPMENT
Mailing Address - State:WY
Mailing Address - Zip Code:82325-0163
Mailing Address - Country:US
Mailing Address - Phone:307-710-6684
Mailing Address - Fax:
Practice Address - Street 1:#5 INDIAN HILLS ESTATES
Practice Address - Street 2:
Practice Address - City:ENCAMPMENT
Practice Address - State:WY
Practice Address - Zip Code:82325-0163
Practice Address - Country:US
Practice Address - Phone:307-710-6684
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-06
Last Update Date:2018-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYLPC-057101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty