Healthcare Provider Details

I. General information

NPI: 1841768934
Provider Name (Legal Business Name): MRS. KATE LEE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATE HOLSOPPLE-STAINBROOK

II. Dates (important events)

Enumeration Date: 11/06/2018
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 N PROSPECT ST
BOWLING GREEN OH
43402-1335
US

IV. Provider business mailing address

3909 WOODLEY RD
TOLEDO OH
43606-1169
US

V. Phone/Fax

Practice location:
  • Phone: 419-352-5387
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: