Provider Demographics
NPI:1073957437
Name:HAY LEE, CONSTANCE DAWN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:CONSTANCE
Middle Name:DAWN
Last Name:HAY LEE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1718 PEACHTREE ST NW
Mailing Address - Street 2:SOUTH TOWER. SUITE 481
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-2452
Mailing Address - Country:US
Mailing Address - Phone:404-389-9600
Mailing Address - Fax:
Practice Address - Street 1:1718 PEACHTREE ST NW
Practice Address - Street 2:SOUTH TOWER. SUITE 481
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-2452
Practice Address - Country:US
Practice Address - Phone:404-389-9600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-29
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA007037101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional