Provider Demographics
NPI:1629198395
Name:LEE, NIKKI D (MFT, LPC-S, CIMHP)
Entity Type:Individual
Prefix:MRS
First Name:NIKKI
Middle Name:D
Last Name:LEE
Suffix:
Gender:F
Credentials:MFT, LPC-S, CIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 56811
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70156-6811
Mailing Address - Country:US
Mailing Address - Phone:504-875-8824
Mailing Address - Fax:866-652-6607
Practice Address - Street 1:2305 N HULLEN ST STE 11
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-1988
Practice Address - Country:US
Practice Address - Phone:504-656-4284
Practice Address - Fax:866-652-6607
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA0608052101Y00000X
ARP0904024101YP2500X
LA5226101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor