Provider Demographics
NPI:1154675163
Name:JOHN LEE LMHC
Entity Type:Organization
Organization Name:JOHN LEE LMHC
Other - Org Name:BEHAVIORAL ALTERNATIVES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/COUNSLOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:HALVER
Authorized Official - Last Name:LEE
Authorized Official - Suffix:JR
Authorized Official - Credentials:LMHC
Authorized Official - Phone:561-309-4140
Mailing Address - Street 1:2500 QUANTUM LAKES DR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-8324
Mailing Address - Country:US
Mailing Address - Phone:561-309-4140
Mailing Address - Fax:561-265-2284
Practice Address - Street 1:2500 QUANTUM LAKES DR
Practice Address - Street 2:SUITE 203
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-8324
Practice Address - Country:US
Practice Address - Phone:561-309-4140
Practice Address - Fax:561-265-2284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-30
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5468101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000171500Medicaid