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Lucky Lewis JR.
Peer Specialist in Portsmouth, Ohio
NPI 1942953054

Lucky Lewis JR. is a Peer Specialist based in Portsmouth, OH. Lucky Lewis JR. practices in Portsmouth, OH. The NPI Number for Lucky Lewis JR. is 1942953054 and holds a License No. (Ohio).

The current practice location address for Lucky Lewis JR. is 4300 Old Scioto Trl, Portsmouth, OH and can be reached out via phone at 740-351-9298.

Location: 4300 Old Scioto Trl, Portsmouth, OH, 45662-6642
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942953054
Provider Name
Lucky Lewis JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
4300 Old Scioto Trl, Portsmouth, OH, 45662-6642
Phone Number
740-351-9298
Fax Number
Provider Enumeration Date
01/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4300 Old Scioto Trl
City
Portsmouth
State
Ohio
Zip
45662-6642
Phone Number
740-351-9298
Fax Number
person
Provider Business Mailing Address Details
Address
4300 Old Scioto Trl
City
Portsmouth
State
Ohio
Zip
45662-6642
Phone Number
740-351-9298
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Ohio)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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