Healthcare Provider Details

I. General information

NPI: 1073459400
Provider Name (Legal Business Name): LEE CHIMUANYA OKELUE AMFT/APCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44117 47TH ST W
LANCASTER CA
93536-2368
US

IV. Provider business mailing address

44117 47TH ST W
LANCASTER CA
93536-2368
US

V. Phone/Fax

Practice location:
  • Phone: 661-643-1728
  • Fax: 661-643-1728
Mailing address:
  • Phone: 661-643-1728
  • Fax: 661-643-1728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: