Provider Demographics
NPI:1033549944
Name:KINSEY, LEE (PHD, LPC-S, LMHC)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:
Last Name:KINSEY
Suffix:
Gender:M
Credentials:PHD, LPC-S, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:359 BOYLSTON ST FL 5
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116-3304
Mailing Address - Country:US
Mailing Address - Phone:469-405-0322
Mailing Address - Fax:
Practice Address - Street 1:359 BOYLSTON ST FL 5
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-3304
Practice Address - Country:US
Practice Address - Phone:469-405-0322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-14
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA12442101YM0800X
TX67549101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional