Active NPI
Lee Barrow, LLC
- Mental Health Counselor
- Lakeland, FL
National Provider Identifier
1063772689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH4263
- Legal business name
- LEE BARROW, LLC
- Practice address
- 2225 E Edgewood Dr
Sutie 11
Lakeland, FL 33803-3634 - Phone
- (863) 937-9152
- Fax
- (863) 937-9154
- NPI assigned
- May 17, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Tull
- Title
- Administrator
- Phone
- (863) 937-9152
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH4263 | FL | Primary |
Addresses
Primary practice location
2225 E Edgewood Dr
Sutie 11
Lakeland, FL 33803-3634
Mailing address
PO Box 1533
Highland City, FL 33846-1533
National Provider Directory
National Provider DirectoryLocations
2225 E Edgewood Dr
Ste 11
Lakeland, FL 33803
Phone (863) 646-4581
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Lakeland, FL
- NPI 1790068401
-
- Mental Health Counselor
- Lakeland, FL
- NPI 1932284049
-
- Mental Health Counselor
- Lakeland, FL
- NPI 1558542431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337212800000",
"number": "1063772689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1533",
"city": "HIGHLAND CITY",
"state": "FL",
"postal_code": "338461533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2225 E EDGEWOOD DR",
"address_2": "SUTIE 11",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338033634",
"telephone_number": "863-937-9152",
"fax_number": "863-937-9154"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEE BARROW, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-17",
"last_updated": "2012-05-17",
"status": "A",
"authorized_official_last_name": "TULL",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "863-937-9152"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH4263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.