| Lee Barrow, Llc | |
|
2225 E Edgewood Dr Sutie 11 Lakeland FL 33803-3634 | |
| (863) 937-9152 | |
| (863) 937-9154 |
| Full Name | Lee Barrow, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2225 E Edgewood Dr, Lakeland, Florida |
| Authorized Official Name and Position | Michelle Tull (ADMINISTRATOR) |
| Authorized Official Contact | 8639379152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee Barrow, Llc Po Box 1533 Highland City FL 33846-1533 Ph: () - | Lee Barrow, Llc 2225 E Edgewood Dr Sutie 11 Lakeland FL 33803-3634 Ph: (863) 937-9152 |
| NPI Number | 1063772689 |
|---|---|
| Provider Enumeration Date | 05/17/2012 |
| Last Update Date | 05/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063772689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH4263 (Florida) | Primary |
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