Provider Demographics
NPI:1629284427
Name:MARGARET H. LEE LLC
Entity Type:Organization
Organization Name:MARGARET H. LEE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:PROF
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:HARRIS
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:770-923-9200
Mailing Address - Street 1:680 HILLCREST RD NW
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047-1708
Mailing Address - Country:US
Mailing Address - Phone:770-923-9200
Mailing Address - Fax:770-923-2556
Practice Address - Street 1:680 HILLCREST RD NW
Practice Address - Street 2:SUITE300
Practice Address - City:LILBURN
Practice Address - State:GA
Practice Address - Zip Code:30047-1708
Practice Address - Country:US
Practice Address - Phone:770-923-9200
Practice Address - Fax:770-923-2556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALCSW GA 000509101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA80BBFDBMedicare ID - Type Unspecified
GA1982636205Medicare UPIN