Provider Demographics
NPI:1982472254
Name:SLUSHER, LEWIS R (LMFT)
Entity type:Individual
Prefix:
First Name:LEWIS
Middle Name:R
Last Name:SLUSHER
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:LEWIS
Other - Middle Name:RANDALL KAWEHI
Other - Last Name:SLUSHER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:10900 NUCKOLS RD STE 100
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-9276
Mailing Address - Country:US
Mailing Address - Phone:804-207-6737
Mailing Address - Fax:
Practice Address - Street 1:10900 NUCKOLS RD STE 100
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-9276
Practice Address - Country:US
Practice Address - Phone:804-207-6737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-18
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMFT-869-0106H00000X
VA0717002443106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist