MEDICARE: RACHEL LEE LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	006082	NY

General Provider Information

NPI Number	:	1023425709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL LEE LMHC

Provider Business Mailing Address
First Line	:	2 HINCKLEY PL APT 3C
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11218-3354
Country	:	US
Telephone Number	:	917-723-2803
Fax Number	:

Provider Business Practice Location Address
First Line	:	135 OCEAN PKWY APT 1P
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11218-2579
Country	:	US
Telephone Number	:	917-723-2803
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2014
Last Update Date	:	10/14/2019

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