Provider Demographics
NPI:1255142428
Name:LEWIS-NEAL, MAJA D (LCSW)
Entity type:Individual
Prefix:
First Name:MAJA
Middle Name:D
Last Name:LEWIS-NEAL
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:MAJA
Other - Middle Name:DANIELLIE
Other - Last Name:LEWIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:880 HIGHWAY 6 S APT 2110
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-1061
Mailing Address - Country:US
Mailing Address - Phone:318-503-5448
Mailing Address - Fax:
Practice Address - Street 1:9401 SOUTHWEST FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1407
Practice Address - Country:US
Practice Address - Phone:346-451-5358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-16
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1077631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical