Provider Demographics
NPI:1417639394
Name:KNIGHT, LEE (MED, ALC)
Entity Type:Individual
Prefix:MS
First Name:LEE
Middle Name:
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:MED, ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1037 22ND ST S STE 204
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-2831
Mailing Address - Country:US
Mailing Address - Phone:205-567-5859
Mailing Address - Fax:
Practice Address - Street 1:1037 22ND ST S STE 204
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-2831
Practice Address - Country:US
Practice Address - Phone:205-567-5859
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALALC04535101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health