Provider Demographics
NPI:1770244873
Name:LEE, CHELSEA KATELYN (MA, LCMHCA)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:KATELYN
Last Name:LEE
Suffix:
Gender:F
Credentials:MA, LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1337 HUNDRED OAKS DR STE E
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28217-4052
Mailing Address - Country:US
Mailing Address - Phone:704-466-6930
Mailing Address - Fax:
Practice Address - Street 1:1932 METCALF RD
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150-1001
Practice Address - Country:US
Practice Address - Phone:704-466-6930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-01
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA17193101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health