| Keyondio Lee, LCSW | |
|
138 Deloris Madison Dr, Midway, FL 32343-2213 | |
| (850) 270-7585 | |
| Not Available |
| Full Name | Keyondio Lee |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 138 Deloris Madison Dr, Midway, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316248651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW15680 (Florida) | Primary |
| Entity Name | Direct Access Counseling & Supportive Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679011449 PECOS PAC ID: 3971878398 Enrollment ID: O20171010002520 |
| Mailing Address | Practice Location Address |
|---|---|
| Keyondio Lee, LCSW 138 Deloris Madison Dr, Midway, FL 32343-2213 Ph: (850) 270-7585 | Keyondio Lee, LCSW 138 Deloris Madison Dr, Midway, FL 32343-2213 Ph: (850) 270-7585 |
Taylor A Bridges, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 159 Monroe Creek Dr # 3208, Midway, FL 32343 Phone: 407-692-0468 | |
Heather O'brien Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7 Vencent Dr W, Midway, FL 32343 Phone: 850-509-5444 | |
Alisha Burns, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 155 Slash Cir, Midway, FL 32343 Phone: 850-508-1870 Fax: 850-539-9303 |