MEDICARE: MR. JEFFREY TAYLOR LEE PLPC

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	PLPC10648	LA

General Provider Information

NPI Number	:	1427858661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JEFFREY TAYLOR LEE PLPC

Provider Business Mailing Address
First Line	:	4201 HEYD AVE
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70605-4327
Country	:	US
Telephone Number	:	337-513-5471
Fax Number	:

Provider Business Practice Location Address
First Line	:	122 WILLIAMSBURG ST
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70605-5720
Country	:	US
Telephone Number	:	337-202-5205
Fax Number	:

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

Provider Enumeration Date	:	03/17/2025
Last Update Date	:	06/12/2025

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