# LEE SIDE WELLNESS ASSOCIATES, LLC

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

## Provider details

- **NPI number:** 1841731510
- **Authorized official:** RONALD TYSON (OWNER/CEO)
- **Authorized official phone:** (513) 317-0720

## Contact information

- **Practice address:** 3615 SOCIALVILLE FOSTER RD, SUTIES A B C D, MASON, OH 45040-6971
- **Practice address phone:** (513) 204-1910
- **Practice address fax:** (513) 204-0049
- **Mailing address:** 3615 SOCILAVILLE FOSTER RD, SUITES A B C D, MASON, OH 45040-6971
- **Mailing address phone:** (513) 204-1910
- **Mailing address fax:** (513) 204-0049

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/15/2017
- **Last updated:** 05/17/2022