Dominique Lee

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3343 Peachtree Rd NE Ste 145-1685
Atlanta, GA 30326-1085

Phone

(470) 222-3671

NPI assigned

Jun 15, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Bloom Wellness and Therapy Center

  • Multi-Specialty Clinic/Center
  • Atlanta, GA
  • NPI 1841882610
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1023793270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 WESTON LN",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845505",
            "telephone_number": "191-750-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3343 PEACHTREE RD NE STE 145-1685",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261085",
            "telephone_number": "470-222-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DOMINIQUE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Seung Hun Lee
• Daniel Thomas Sang Lee
• Danyae Elise Lee, PHARM.D.
• David Fernando Lee, M.D.
• Deborah S. Lee, MD
• Doreen F Lee, MD
• Doris Lee, M.D.
• Dustin Lee, PT, DPT
• Eleanor W. Lee, MSW, LCSW, BCDCSW
• Elijah Lee

• Mental Health Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.