Healthcare Provider Details

I. General information

NPI: 1811587595
Provider Name (Legal Business Name): ZANAIDA NICHOLE LEE MS, LPC, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2021
Last Update Date: 03/29/2026
Certification Date: 03/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 CONTINENTAL DR STE 101
ABINGDON MD
21009-2338
US

IV. Provider business mailing address

1301 CONTINENTAL DR STE 101
ABINGDON MD
21009-2338
US

V. Phone/Fax

Practice location:
  • Phone: 667-600-3424
  • Fax:
Mailing address:
  • Phone: 667-600-3424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number128844
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLGP9972
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC12007
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC05368
License Number StateAL
# 5
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC017841
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: