Kellye Lewis's National Provider Identifier (NPI) Details
Kellye Lewis, MA, LPC, NCC
NPI: 1952815458
Enumeration Date: 2017-11-21
Last updated: 2017-11-21
Sole Proprietor: YES
Status: active
Postal Address: 108 COLIN P KELLY DR, MINDEN, LA
Phone: 318-402-6379
Primary Practice Address: 3821 SOUTHERN AVE, SHREVEPORT, LA
Practice's phone: 318-946-8157