Provider Demographics
NPI:1750836797
Name:LEE, PATRICIA F (MS)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:F
Last Name:LEE
Suffix:
Gender:F
Credentials:MS
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 820065
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70182-0065
Mailing Address - Country:US
Mailing Address - Phone:504-261-8628
Mailing Address - Fax:504-284-7754
Practice Address - Street 1:2430 DREUX AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70122-5110
Practice Address - Country:US
Practice Address - Phone:504-261-8628
Practice Address - Fax:504-284-7754
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-19
Last Update Date:2016-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor