Individual
MRS. SUSAN JOYE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP, RPT, SUP.
Contact information
Practice address
6510 STAGE RD, SUITE 3, MEMPHIS, TN 38134-3892
(901) 488-3123
Mailing address
9247 SPEERBERRY CIR, CORDOVA, TN 38016-2399
(901) 251-4457
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
14555
TX
101YM0800X
Mental Health Counselor
Primary
2128
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10043951
AMERICAN BEHAVIORAL
TN
01
—
11737193
CAQH
TN
01
—
4154354
BCBS OF TN
TN
01
—
84528L
BCBS
TX
Enumeration date
07/08/2005
Last updated
08/30/2007
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