Provider Demographics
NPI:1457362071
Name:LEWIS, AIMEE' ANN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:AIMEE'
Middle Name:ANN
Last Name:LEWIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 MORNINGSIDE DR
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-3343
Mailing Address - Country:US
Mailing Address - Phone:405-354-4989
Mailing Address - Fax:
Practice Address - Street 1:1501 COMMERCE STREET
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73085-1290
Practice Address - Country:US
Practice Address - Phone:405-354-1927
Practice Address - Fax:405-354-3927
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKLPC-1828101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional