Provider Demographics
NPI:1194299107
Name:TRISHA LEWIS LCSW LLC
Entity type:Organization
Organization Name:TRISHA LEWIS LCSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRISHA L
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:608-469-3914
Mailing Address - Street 1:401 BOWLING AVE UNIT 76
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-5142
Mailing Address - Country:US
Mailing Address - Phone:608-469-3914
Mailing Address - Fax:
Practice Address - Street 1:401 BOWLING AVE # UNTI76
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2533
Practice Address - Country:US
Practice Address - Phone:608-469-3914
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-14
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty