MEDICARE: ALEXA LEE LCMHCA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	A21631	NC

General Provider Information

NPI Number	:	1568350858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXA LEE LCMHCA

Provider Business Mailing Address
First Line	:	1194 PEELE RD
Second Line	:
City	:	CLAYTON
State	:	NC
Zip	:	27520-6864
Country	:	US
Telephone Number	:	919-902-9327
Fax Number	:

Provider Business Practice Location Address
First Line	:	398 FLORENCE DR
Second Line	:
City	:	CLAYTON
State	:	NC
Zip	:	27527-9249
Country	:	US
Telephone Number	:	984-274-9532
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2025
Last Update Date	:	05/26/2026

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