Provider Demographics
NPI:1164036802
Name:LEE, ALEXANDRIA MORGAN (LAPC)
Entity Type:Individual
Prefix:MRS
First Name:ALEXANDRIA
Middle Name:MORGAN
Last Name:LEE
Suffix:
Gender:F
Credentials:LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 RIDLEY AVE STE C
Mailing Address - Street 2:
Mailing Address - City:LAGRANGE
Mailing Address - State:GA
Mailing Address - Zip Code:30240-2267
Mailing Address - Country:US
Mailing Address - Phone:706-756-1970
Mailing Address - Fax:706-412-5059
Practice Address - Street 1:401 RIDLEY AVE STE C
Practice Address - Street 2:
Practice Address - City:LAGRANGE
Practice Address - State:GA
Practice Address - Zip Code:30240-2267
Practice Address - Country:US
Practice Address - Phone:706-756-1970
Practice Address - Fax:706-412-5059
Is Sole Proprietor?:No
Enumeration Date:2020-09-01
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC007279101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health