Provider Demographics
NPI:1770012536
Name:C.E. LEWIS & ASSOCIATES, LLC
Entity type:Organization
Organization Name:C.E. LEWIS & ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:CRAIJETTA
Authorized Official - Middle Name:E
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:804-221-0003
Mailing Address - Street 1:1618 HULL ST STE K
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23224-3806
Mailing Address - Country:US
Mailing Address - Phone:804-221-0003
Mailing Address - Fax:804-200-5423
Practice Address - Street 1:1618 HULL ST STE K
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23224-3806
Practice Address - Country:US
Practice Address - Phone:804-221-0003
Practice Address - Fax:804-200-5423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040095111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty