Individual
SUNNY R LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1636 POPPS FERRY RD, SUITE 117, BILOXI, MS 39532-2217
(228) 396-1600
(228) 396-5001
Mailing address
1636 POPPS FERRY RD, SUITE 117, BILOXI, MS 39532-2217
(228) 396-1600
(228) 396-5001
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C6047
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119005
—
MS
01
—
1179558
CIGNA
MS
01
—
125297573899
HUMANA
MS
01
—
174456
COMPSYCH
MS
01
—
180096
VALUE OPTIONS
MS
01
—
180151
COMPSYCH
MS
01
—
62-88956
UNITED BEHAVIORAL HEALTH
MS
Enumeration date
09/14/2006
Last updated
07/09/2007
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