Individual
DR. OMARAN DEVON LEE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMIN PT
Contact information
Practice address
5217 GIARDINO DR, MOUNT JULIET, TN 37122-4265
(615) 506-0356
Mailing address
PO BOX 330191, NASHVILLE, TN 37203-7501
(615) 506-0356
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
Primary
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Enumeration date
05/16/2023
Last updated
08/08/2023
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