MEDICARE: MS. LEE KNIGHT M.ED., ALC

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	ALC04535	AL

General Provider Information

NPI Number	:	1417639394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LEE KNIGHT M.ED., ALC

Provider Business Mailing Address
First Line	:	1037 22ND ST S STE 204
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35205-2831
Country	:	US
Telephone Number	:	205-567-5859
Fax Number	:

Provider Business Practice Location Address
First Line	:	1037 22ND ST S STE 204
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35205-2831
Country	:	US
Telephone Number	:	205-567-5859
Fax Number	:

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

Provider Enumeration Date	:	08/01/2023
Last Update Date	:	08/01/2023

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Directions to “ MS. LEE KNIGHT M.ED., ALC” Practice Location

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