Healthcare Provider Details

I. General information

NPI: 1235058488
Provider Name (Legal Business Name): HEATHER LEE LMHCA, NCC, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

890 E 116TH ST STE 108B
CARMEL IN
46032-3476
US

IV. Provider business mailing address

1735 WELLPARK DR
WESTFIELD IN
46074-7466
US

V. Phone/Fax

Practice location:
  • Phone: 463-304-0220
  • Fax:
Mailing address:
  • Phone: 317-695-7302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number88002540A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: