MEDICARE: LINDA LEE

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

General Provider Information

NPI Number	:	1376495002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA LEE

Provider Business Mailing Address
First Line	:	8225 166TH ST W
Second Line	:
City	:	LAKEVILLE
State	:	MN
Zip	:	55044-6238
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	20855 KENSINGTON BLVD STE B201
Second Line	:
City	:	LAKEVILLE
State	:	MN
Zip	:	55044-7542
Country	:	US
Telephone Number	:	507-291-2662
Fax Number	:	507-202-2885

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

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

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Directions to “ LINDA LEE ” Practice Location

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