Provider Demographics
NPI:1821974171
Name:NKRUMAH D. LEWIS LLC
Entity type:Organization
Organization Name:NKRUMAH D. LEWIS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NKRUMAH
Authorized Official - Middle Name:D'ANGELO
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCSW
Authorized Official - Phone:336-355-8423
Mailing Address - Street 1:2007 BOULEVARD ST STE E
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-4695
Mailing Address - Country:US
Mailing Address - Phone:336-355-8423
Mailing Address - Fax:336-450-1833
Practice Address - Street 1:2007 BOULEVARD ST STE E
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-4695
Practice Address - Country:US
Practice Address - Phone:336-355-8423
Practice Address - Fax:336-450-1833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty