Healthcare Provider Details

I. General information

NPI: 1205666922
Provider Name (Legal Business Name): LEE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2024
Last Update Date: 08/06/2024
Certification Date: 08/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 BRYCE CIR STE C
SIMPSONVILLE SC
29681-4842
US

IV. Provider business mailing address

105 HAVERCROFT LN
GREENVILLE SC
29615-5557
US

V. Phone/Fax

Practice location:
  • Phone: 864-331-9208
  • Fax:
Mailing address:
  • Phone: 864-593-1451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER LEE
Title or Position: OWNER
Credential: LISW-CP
Phone: 864-331-9208