Chambers, Lee R
Chambers, Lee R is an sole proprietor health care provider with primary practice located at 341 Margie Dr Ste 3A , Warner Robins GA 31088. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Chambers, Lee R can be contacted via phone (478) 832-9442.Contact Information
Primary practice address
341 Margie Dr Ste 3A
Warner Robins GA 31088
Phone: (478) 832-9442
Fax: (229) 299-0993
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | C1303150905 | California |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 509319 | Georgia |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | C0157 | Georgia |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | S.1200490 | Ohio |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 8277 | Connecticut |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW005857 | Georgia |
Profile Details
| NPI number | 1619306867 |
|---|---|
| LBN Legal business name | Chambers, Lee R |
| Credentials | LCSW, MAC,CAADC, RAS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2013 |
| Last updated | Aug 9th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619306867 | NPPES |
| Georgia | Other | 202G706472 | 821165799 |
| Georgia | Other | 9453675 | 821165799 |
| Georgia | MEDICAID | 003177727E | 821165799 |
| Georgia | Other | 4658124 | 821165799 |
| Georgia | MEDICAID | 003177727B | 821165799 |
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