Provider Demographics
NPI:1174028674
Name:DR. BELINDA LEE INC
Entity Type:Organization
Organization Name:DR. BELINDA LEE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:954-768-0434
Mailing Address - Street 1:108 SE 8TH AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-2023
Mailing Address - Country:US
Mailing Address - Phone:954-768-0434
Mailing Address - Fax:954-768-0285
Practice Address - Street 1:108 SE 8TH AVE STE 203
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-2023
Practice Address - Country:US
Practice Address - Phone:954-768-0434
Practice Address - Fax:954-768-0285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-27
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health