Search › Illinois › 1041C0700X
Amanda Lewis, LCSW
NPI 1518360171 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1405 N Green Mount Rd Ste 230
O Fallon, IL 62269 - Phone
- (618) 334-5571
- Fax
- (618) 551-8955
- Clinicians at this address
- 3
Additional practice sites
- 1161 Fortune Blvd, Shiloh, IL
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-02-20
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 Illinois