Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ellieton Bobby Lewis

Individual provider Counselor · NPI 1487203469

Ellieton Bobby Lewis is a Counselor in Miami Gardens, Florida. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

1825 NW 167th St
Miami Gardens, FL 33056-4838
Phone: (786) 263-3392
Fax: (305) 623-7893
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1487203469
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 11, 2019
Last updated in NPPESSeptember 11, 2019

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