Rodney Lewis | Oakland, CA • PECOS Search

Rodney Lewis

Counselor

Behavioral Health & Social Service Providers

451 28th St, Oakland, CA 94609-3602

PECOS Enrollment

Based on the most recent information from CMS, provider Rodney Lewis does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1588866883
Provider Type
Individual
Full Name
Lewis, Rodney
Title
Mr.

Gender
Male
Sole Proprietor
No
Enumeration Date
5/31/2007
Last Updated
7/8/2007

Contact Information

Practice Location

451 28th St, Oakland, CA 94609-3602

Unlisted Fax

Mailing Location

451 28th St, Oakland, CA 94609-3602

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YA0400X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer