# LUCILLE LEE MCMICHAEL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154569614
- **Authorized official:** LUCILLE LEE MCMICHAEL LCSW (OWNER)
- **Authorized official phone:** (270) 746-9995

## Contact information

- **Practice address:** 1830 DESTINY LN, SUITE 112, BOWLING GREEN, KY 42104-1087
- **Practice address phone:** (270) 746-9995
- **Practice address fax:** (270) 393-9011
- **Mailing address:** 1830 DESTINY LN, SUITE 112, BOWLING GREEN, KY 42104-1087
- **Mailing address phone:** (270) 746-9995
- **Mailing address fax:** (270) 393-9011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 3277 | KY | Yes |

## Other

- **Enumeration date:** 01/21/2009
- **Last updated:** 01/21/2009