Provider Demographics
NPI:1801303078
Name:LEWIN, SHERYL LOUISE (LMFT)
Entity type:Individual
Prefix:MS
First Name:SHERYL
Middle Name:LOUISE
Last Name:LEWIN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 LEAGUE UNIT 61884
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92602-7089
Mailing Address - Country:US
Mailing Address - Phone:562-822-3300
Mailing Address - Fax:
Practice Address - Street 1:145 W MAIN ST STE 250
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-7751
Practice Address - Country:US
Practice Address - Phone:562-822-3300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-09
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103987106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist