| Nicole Bashan Lewis, | |
|
1325 W 98th Ave, Crown Point, IN 46307 | |
| (219) 789-9185 | |
| Not Available |
| Full Name | Nicole Bashan Lewis |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 9 Years |
| Location | 1325 W 98th Ave, Crown Point, Indiana |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053847251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 93611 (Texas) | Secondary |
| 101YM0800X | Counselor - Mental Health | 88000389A (Indiana) | Primary |
| Entity Name | Center For Life Enrichment Advancement And Recovery Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548856842 PECOS PAC ID: 5890195713 Enrollment ID: O20210615002126 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Bashan Lewis, 1325 W 98th Ave, Crown Point, IN 46307-2465 Ph: (219) 789-9185 | Nicole Bashan Lewis, 1325 W 98th Ave, Crown Point, IN 46307 Ph: (219) 789-9185 |
Suzanne Jean Bonaventura-krischke, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 250 N Main St, Crown Point, IN 46307 Phone: 219-663-6353 Fax: 219-663-6155 | |
Anastasia Hernandez, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1308 N Main St, Crown Point, IN 46307 Phone: 219-663-6353 | |
Sabrina Marie Sanchez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1308 N Main St, Crown Point, IN 46307 Phone: 219-663-6353 | |
Kristina Nicole Fairbanks, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1308 N Main St, Crown Point, IN 46307 Phone: 219-663-6353 | |
Jeremy Wirtz, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1308 N Main St, Crown Point, IN 46307 Phone: 219-663-6353 | |
Jilian M Hus, LMHC, CCMHC Counselor Medicare: May Accept Medicare Assignments Practice Location: 11506 Kentucky St, Crown Point, IN 46307 Phone: 219-440-2239 | |
Maegan Glass, MA, LMHCA, NCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1308 N Main St, Crown Point, IN 46307 Phone: 219-301-0206 |