Individual ProviderIndaysha LewisBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address421 Fayetteville St, Raleigh, NC 27601-1792(877) 418-2978PECOS EnrollmentBased on the most recent information from CMS, provider Indaysha Lewis does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1063047017Provider TypeIndividualFull NameLewis, IndayshaGenderFemaleSole ProprietorNoEnumeration Date3/10/2020Last Updated3/10/2020Contact InformationPractice LocationPractice Address421 Fayetteville St, Raleigh, NC 27601-1792Phone(877) 418-2978Fax(866) 500-2186Mailing LocationMailing Address421 Fayetteville St, Raleigh, NC 27601-1792Phone(877) 418-2978Fax(866) 500-2186Provider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerNorth Carolina