Tyeisha Lee
Peer Specialist in Slidell, LA. Individual provider (NPI-1).
NPI number1104451434
StatusActive
Last updated in NPPESMar 6, 2020
Details
- NPI
- 1104451434
- Entity type
- Individual (NPI-1)
- Name
- Tyeisha Lee
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 6, 2020
- Certification date
- Mar 6, 2020
- Last updated
- Mar 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
118 Village StSlidell, LA 70458-5302
Phone 985-286-0572
Mailing address
8326 Kelwood AveBaton Rouge, LA 70806-4803
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 21 Peer Specialist providers in Slidell · All 2,622 providers in Slidell
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