| Latonia Lewis, | |
|
17422 Us Highway 64, Somerville, TN 38068-6160 | |
| (901) 466-6544 | |
| Not Available |
| Full Name | Latonia Lewis |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 9 Years |
| Location | 17422 Us Highway 64, Somerville, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699353714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4652 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Professional Care Services Of West Tn, Inc. | 0042115537 | 13 |
| Entity Name | Professional Care Services Of West Tn, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457351215 PECOS PAC ID: 0042115537 Enrollment ID: O20031208000128 |
| Mailing Address | Practice Location Address |
|---|---|
| Latonia Lewis, 3197 Melbourne St, Memphis, TN 38127-6739 Ph: (731) 460-1351 | Latonia Lewis, 17422 Us Highway 64, Somerville, TN 38068-6160 Ph: (901) 466-6544 |
Justine Elenna Bynum, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2250 Hall Dr, Somerville, TN 38068 Phone: 901-487-5002 | |
Ms. Lisa Mckinney Weeams, LPC, CRC, LPN, CCM Counselor Medicare: Not Enrolled in Medicare Practice Location: 7495 Highway 195, Somerville, TN 38068 Phone: 901-459-1949 | |
Mrs. Kimberly Rena Wakefield-strong, LPC-MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 213 Lakeview Rd, Somerville, TN 38068 Phone: 901-235-4649 |