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Ellieton Bobby Lewis
Counselor in Miami Gardens, Florida
NPI 1487203469

Ellieton Bobby Lewis is a Counselor based in Miami Gardens, FL. Ellieton Bobby Lewis practices in Miami Gardens, FL. The NPI Number for Ellieton Bobby Lewis is 1487203469 and holds a License No. (Florida).

The current practice location address for Ellieton Bobby Lewis is 1825 Nw 167Th St, Miami Gardens, FL and can be reached out via phone at 786-263-3392 and via fax at 305-623-7893.

Location: 1825 Nw 167Th St, Miami Gardens, FL, 33056-4838
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487203469
Provider Name
Ellieton Bobby Lewis
Credential
Provider Entity Type
Individual
Gender
Male
Address
1825 Nw 167Th St, Miami Gardens, FL, 33056-4838
Phone Number
786-263-3392
Fax Number
305-623-7893
Provider Enumeration Date
09/11/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1891859575 05 FL
institution
Provider Business Practice Location Address Details
Address
1825 Nw 167Th St
City
Miami Gardens
State
Florida
Zip
33056-4838
Phone Number
786-263-3392
Fax Number
305-623-7893
person
Provider Business Mailing Address Details
Address
1825 Nw 167Th St
City
Miami Gardens
State
Florida
Zip
33056-4838
Phone Number
786-263-3392
Fax Number
305-623-7893
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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