Organization Active NPI

Lee Barrow, LLC

  • Mental Health Counselor
  • Lakeland, FL
National Provider Identifier
1063772689
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH4263 Issued in FL
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

Updated by the provider on May 17, 2012

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.