| Mrs Jennifer Nicole Lee, MA, LMHC | |
|
6655 E Us Highway 36, Avon, IN 46123-8923 | |
| (317) 272-3330 | |
| (317) 272-0807 |
| Full Name | Mrs Jennifer Nicole Lee |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 6655 E Us Highway 36, Avon, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649603879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 39002821A (Indiana) | Primary |
| Entity Name | Midwest Behavioral Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427362201 PECOS PAC ID: 4587834874 Enrollment ID: O20110824000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jennifer Nicole Lee, MA, LMHC 6389 Capitol Ct, Apt A, Avon, IN 46123-4648 Ph: (765) 499-9057 | Mrs Jennifer Nicole Lee, MA, LMHC 6655 E Us Highway 36, Avon, IN 46123-8923 Ph: (317) 272-3330 |
Ewa Barnaby, MA CMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1928 S Dan Jones Rd, Avon, IN 46123 Phone: 317-709-4106 | |
Ms. Geralyn Rae Pierce, MA, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6655 E Us Highway 36, Avon, IN 46123 Phone: 888-714-1927 Fax: 317-272-0807 | |
Mrs. Ifen Tsai Donovan, M.A. LMHCA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10080 E Us Highway 36, Avon, IN 46123 Phone: 317-790-9396 | |
Jin Han, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6655 E Us Highway 36, Avon, IN 46123 Phone: 888-714-1927 | |
Amanda Sharkey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1928 S Dan Jones Rd, Avon, IN 46123 Phone: 217-854-8265 | |
Olivia Ames Borman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5101 E Us Highway 36 Ste 101, Avon, IN 46123 Phone: 888-714-1927 | |
Celia Freeman, MA CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6655 E Us Highway 36, Avon, IN 46123 Phone: 888-714-1927 |