MEDICARE: CAITLIN LEE M.ED.

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	101YP2500X	Professional Counselor	101260	TX

General Provider Information

NPI Number	:	1124972849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAITLIN LEE M.ED.

Provider Business Mailing Address
First Line	:	110 E 7TH ST STE 330
Second Line	:
City	:	GEORGETOWN
State	:	TX
Zip	:	78626-5767
Country	:	US
Telephone Number	:	512-686-8154
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 E 7TH ST STE 330
Second Line	:
City	:	GEORGETOWN
State	:	TX
Zip	:	78626-5767
Country	:	US
Telephone Number	:	512-686-8154
Fax Number	:

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

Provider Enumeration Date	:	02/21/2026
Last Update Date	:	02/21/2026

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