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Lee Barrow, LLC

Counselor, Mental Health in Lakeland, FL. Organization (NPI-2).

NPI number1063772689
StatusActive
Last updated in NPPESMay 17, 2012

Details

NPI
1063772689
Entity type
Organization (NPI-2)
Legal business name
Lee Barrow, LLC
Organization subpart
No
Enumeration date
May 17, 2012
Last updated
May 17, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthMH4263FLYes

Practice location

2225 E Edgewood Dr
Sutie 11
Lakeland, FL 33803-3634

Phone 863-937-9152 · Fax 863-937-9154

Mailing address

Po Box 1533
Highland City, FL 33846-1533

Authorized official

Michelle Tull
Administrator
8639379152

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