Provider Demographics
NPI:1275851461
Name:LEWIS, ANNE P (MS, LPC, CRC)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:P
Last Name:LEWIS
Suffix:
Gender:F
Credentials:MS, LPC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10801 N LA CHOLLA BLVD
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85742-8688
Mailing Address - Country:US
Mailing Address - Phone:520-878-1266
Mailing Address - Fax:520-878-1229
Practice Address - Street 1:10801 N LA CHOLLA BLVD
Practice Address - Street 2:
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85742-8688
Practice Address - Country:US
Practice Address - Phone:520-878-1266
Practice Address - Fax:520-878-1229
Is Sole Proprietor?:No
Enumeration Date:2010-05-12
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC1488101YP2500X
ILCRC9817225C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor