Organization Active NPI

Lee'S Place, Inc.

  • Community/Behavioral Health Agency
  • Tallahassee, FL
National Provider Identifier
1225349434
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CH13571 Issued in FL
Legal business name
LEE'S PLACE, INC.
Practice address
216 Lake Ella Dr
Tallahassee, FL 32303-5545
Phone
(850) 841-7733
Fax
(850) 841-7702
NPI assigned
Jun 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Authorized official

Name
Dr. Brenda Martin Rabalais, PHDNPI 1952621252
Title
President
Phone
(850) 841-7733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CH13571 FL Primary

Addresses

Primary practice location

216 Lake Ella Dr
Tallahassee, FL 32303-5545

Mailing address

216 Lake Ella Dr
Tallahassee, FL 32303-5545
Phone (850) 841-7733

National Provider Directory

National Provider Directory

Locations

216 Lake Ella Dr
Tallahassee, FL 32303
Phone (850) 841-7733

Practitioners & affiliated clinicians

Practitioners 2

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": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1225349434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 LAKE ELLA DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323035545",
            "telephone_number": "850-841-7733",
            "fax_number": "850-841-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 LAKE ELLA DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323035545",
            "telephone_number": "850-841-7733",
            "fax_number": "850-841-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE'S PLACE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "RABALAIS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-841-7733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "CH13571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.