Misoon Shin Lee

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

009251 Issued in GA

Practice address

1810 Peachtree Industrial Blvd Ste 225
Duluth, GA 30097-8178

Phone

(404) 518-9414

NPI assigned

Feb 16, 2021

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1174116628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 EUDORA TRL",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300976281",
            "telephone_number": "404-518-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 PEACHTREE INDUSTRIAL BLVD STE 225",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978178",
            "telephone_number": "404-518-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MISOON",
        "middle_name": "SHIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "009251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Junsoo Lee, LAC, PHD
• Kevin Lee
• Kong Hee Lee
• Kwan Ha Lee
• Kyoungae Lee
• Samuel Lee, L.AC., O.M.D., PH.D.
• Sangheon Lee
• Sangsoo Lee, DC
• Seung Jung Lee, AGNP-C
• Seung Ki Lee, D.C.

• Professional Counselor in Duluth, GA
• Providers in Duluth, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.