Healthcare Provider Details
I. General information
NPI: 1164336699
Provider Name (Legal Business Name): C. LEE HEALTH SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2509 PAINTED BUCKEYE CHASE
SMYRNA GA
30080-2300
US
IV. Provider business mailing address
2509 PAINTED BUCKEYE CHASE
SMYRNA GA
30080-2300
US
V. Phone/Fax
- Phone: 404-314-6155
- Fax:
- Phone: 404-314-6155
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
ALICIA
WELLS
Title or Position: OWNER
Credential: LCSW
Phone: 404-314-6155