Provider Demographics
NPI:1982389193
Name:LEE, HALLYE S (MS, APC, NCC)
Entity Type:Individual
Prefix:
First Name:HALLYE
Middle Name:S
Last Name:LEE
Suffix:
Gender:F
Credentials:MS, APC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 WHISPERWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:GA
Mailing Address - Zip Code:30528-7526
Mailing Address - Country:US
Mailing Address - Phone:706-969-3133
Mailing Address - Fax:
Practice Address - Street 1:417 GREEN STREET PL
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3317
Practice Address - Country:US
Practice Address - Phone:470-252-8191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-16
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC009127101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health