Individual ProviderLisa LewisCounselorBehavioral Health & Social Service ProvidersPractice Address2814 S Us Highway 1 Ste D-4, Fort Pierce, FL 34982(772) 489-4726PECOS EnrollmentBased on the most recent information from CMS, provider Lisa 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 yesterday at 12:57 PM.Profile DetailsProvider ID1750789483Provider TypeIndividualFull NameLewis, LisaCredentialMSGenderFemaleSole ProprietorYesEnumeration Date12/11/2014Last Updated12/11/2014Contact InformationPractice LocationPractice Address2814 S Us Highway 1 Ste D-4, Fort Pierce, FL 34982Phone(772) 489-4726FaxUnlisted FaxMailing LocationMailing Address2814 S Us Highway 1 Ste D4, Fort Pierce, FL 34982-8110Phone(772) 489-4726FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer