Lee, Michael

Lee, Michael is an individual health care provider with primary practice located at 60 Sumter Way , Pell City AL 35128-7738. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is his primary health care specialty. Lee, Michael can be contacted via phone (210) 818-6160.

Contact Information

Primary practice address
60 Sumter Way Pell City AL 35128-7738
Phone: (210) 818-6160
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 178.016452 Illinois
Behavioral Health & Social Service Providers / Counseling 103TC1900X

Profile Details

NPI number 1366065054
LBN Legal business name Lee, Michael
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2020
Last updated Oct 25th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366065054 NPPES
Illinois MEDICAID 37-1303427003
Illinois MEDICAID 37-1303427005

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