Provider Demographics
NPI:1114624699
Name:LEE, SHERIKA ALDAMEKA
Entity Type:Individual
Prefix:MRS
First Name:SHERIKA
Middle Name:ALDAMEKA
Last Name:LEE
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:SHERIKA
Other - Middle Name:ALDAMEKA
Other - Last Name:WHITAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:930 S FIFTH ST
Mailing Address - Street 2:
Mailing Address - City:MEBANE
Mailing Address - State:NC
Mailing Address - Zip Code:27302-3200
Mailing Address - Country:US
Mailing Address - Phone:919-949-7554
Mailing Address - Fax:
Practice Address - Street 1:930 S FIFTH ST
Practice Address - Street 2:
Practice Address - City:MEBANE
Practice Address - State:NC
Practice Address - Zip Code:27302-3200
Practice Address - Country:US
Practice Address - Phone:919-949-7554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-14
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA17889101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health