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NPI Code Detail

MEDICARE: LANITRA WILSON LEE MS, LPC

MEDICARE:   LANITRA WILSON LEE  MS, LPC
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
1101YM0800XMental Health CounselorLPC04646AL
2101Y00000XCounselor04646AL

General Provider Information

NPI Number : 1982231965
Entity Type Code : Individual
Provider Name (Legal Business Name) : LANITRA WILSON LEE MS, LPC
Provider Business Mailing Address
First Line : 4371 NARROW LANE RD STE 201
Second Line :
City : MONTGOMERY
State : AL
Zip : 36116-2975
Country : US
Telephone Number : 334-245-9743
Fax Number :
Provider Business Practice Location Address
First Line : 4385 NARROW LANE RD
Second Line :
City : MONTGOMERY
State : AL
Zip : 36116-2978
Country : US
Telephone Number : 334-747-7754
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2020
Last Update Date : 11/01/2024

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Directions to “ LANITRA WILSON LEE MS, LPC” Practice Location

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