Organization
LEE SIDE WELLNESS ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD TYSON (OWNER/CEO)
(513) 317-0720
Entity
Organization
Contact information
Practice address
3615 SOCIALVILLE FOSTER RD, SUTIES A B C D, MASON, OH 45040-6971
(513) 204-1910
(513) 204-0049
Mailing address
3615 SOCILAVILLE FOSTER RD, SUITES A B C D, MASON, OH 45040-6971
(513) 204-1910
(513) 204-0049
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/15/2017
Last updated
05/17/2022
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