Search › California › 164X00000X
Gentle Lucario Headley Lewis
NPI 1376055145 · on the registry since 2017
Practice
- Address
- 1774 Zonal Ave Bldg C
Los Angeles, CA 90033 - Phone
- (310) 221-6336
- Organisation at this address
- Telecare Corporation
Jwch Institute, Inc.
Exodus Recovery, Inc.
Valley Star Behavioral Health, Inc.
Central Star Behavioral Health, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 116
Additional practice sites
- 2501 W El Segundo Blvd, Hawthorne, CA
Registry record
- Primary taxonomy
- 164X00000X
164X00000X
- Also registered as
- 171M00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-07-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California