MEDICARE: ERIN 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	MH6380	FL

General Provider Information

NPI Number	:	1326261405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN LEE LMHC

Provider Business Mailing Address
First Line	:	5036 DR PHILLIPS BLVD
Second Line	:	SUITE 325
City	:	ORLANDO
State	:	FL
Zip	:	32819-3310
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5036 DR PHILLIPS BLVD
Second Line	:	SUITE 325
City	:	ORLANDO
State	:	FL
Zip	:	32819-3310
Country	:	US
Telephone Number	:	407-963-8395
Fax Number	:

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

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	07/08/2007

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