IndividualActive
Lewis Logan, MDIV, THM, DMIN, CPE
NPI 1477093789 · Pastoral Counselor · Inglewood, CA
Provider details
- NPI number
- 1477093789
- Entity type
- Individual
- Primary specialty
- Pastoral CounselorBehavioral Health & Social Service Providers
- Credential
- MDIV, THM, DMIN, CPE
- Sex
- Male
- Sole proprietor
- Yes
Practice location
332 N. Prairie Ave.
Suite 417
Inglewood, CA 90301
Phone: (310) 680-1810
Mailing address
10747 Magnolia Blvd
North Hollywood, CA 91601-4093
Registry dates
- Enumerated
- 2017-03-06
- Last updated
- 2017-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.