1013146315 NPI number — LEE AND ASSOCIATES CONSULTANTS LLC

Table of content: (NPI 1013146315)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013146315 NPI number — LEE AND ASSOCIATES CONSULTANTS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LEE AND ASSOCIATES CONSULTANTS LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013146315
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/09/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 1733. S
Provider Second Line Business Mailing Address:
1608 CASSELMAN ST.
Provider Business Mailing Address City Name:
SIOUX CITY
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
51102-1733
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
712-253-3232
Provider Business Mailing Address Fax Number:
712-258-3065

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1608 CASSELMAN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SIOUX CITY
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
51103-1628
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
712-253-3232
Provider Business Practice Location Address Fax Number:
712-258-3065
Provider Enumeration Date:
07/08/2009

Additional Information

Authorized Official

Authorized Official Last Name:
LEE
Authorized Official First Name:
FLORA
Authorized Official Middle Name:
MAE
Authorized Official Title or Position:
LMSW/THERAPIST/SOCIAL WORKER
Authorized Official Telephone Number:
712-253-2325

Provider Taxonomy Codes

  • Taxonomy code: 104100000X , with the licence number:  05130 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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