Healthcare Provider Details

I. General information

NPI: 1578486122
Provider Name (Legal Business Name): LEES TRANSITIONAL HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14681 TURNER ST
DETROIT MI
48238-1982
US

IV. Provider business mailing address

14681 TURNER ST
DETROIT MI
48238-1982
US

V. Phone/Fax

Practice location:
  • Phone: 313-471-1105
  • Fax:
Mailing address:
  • Phone: 313-330-4682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CHRIS LEE
Title or Position: CEO
Credential:
Phone: 313-471-1105