CYNTHIA BEASLEY LEE (NPI# 1922153253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922153253 |
| Entity Type | Individual |
| Full Name | CYNTHIA BEASLEY LEE |
| Credential | LPC |
| Practice Address |
19 Church Street Statesboro GA 30458-4853 |
| Practice Telephone | 9124897590 |
| Mailing Telephone | 9126870971 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2013-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC005560 | GA | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
APC001451 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | AMERIGROUP | 1290450 | 01 |
| GA | WELLCARE | 687341 | 01 |
| GA | 200221320A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255877015 | Cynthia Lee | Behavior Technician | 4688 Ontario Mills Pkwy, Ontario, CA 91764-5104 | 2017-01-17 |
| 1194015529 | Cynthia May Lee | Massage Therapist | 211 Nott Hwy, Ashford, CT 06278-1340 | 2011-04-19 |
| 1942599758 | Cynthia Ann Lee | Home Health Aide | 127 Memory Dr, El Dorado, AR 71730-8747 | 2011-04-01 |
| 1164674339 | Cynthia Ann Lee | Case Manager/Care Coordinator | 902 E Highway St, Iowa Park, TX 76367-2143 | 2008-10-18 |
| 1548417728 | Cynthia Katherine Lee | Physical Therapy Assistant | 826 4th St, Marysville, CA 95901-5654 | 2008-08-19 |
| 1427126887 | Cynthia Leah Lee | Pharmacist | 8723 Prince Hts, San Antonio, TX 78254-2311 | 2006-12-01 |
| 1649283383 | Cynthia J Lee | Pediatrics | Us Highway 160 S Mp 394.3, Kayenta, AZ 86033-0368 | 2006-08-14 |
| 1720015290 | Cynthia L Lee | Physical Therapist | 7511 Mourning Dove Rd, # 104, Raleigh, NC 27615-5097 | 2006-06-28 |
| 1912952508 | Cynthia Dawn Lee | Nurse Practitioner | 518 E H St, Erwin, NC 28339-2209 | 2006-05-23 |
| 1972102762 | Cynthia Lee | Student in an Organized Health Care Education/Training Program | 780 American Legion Hwy, Roslindale, MA 02131-3908 | 2020-10-22 |
| Street Address |
19 CHURCH STREET |
| City | STATESBORO |
| State | GA |
| Zip Code | 30458-4853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642218 | Youtherapy | Counselor | 430 Northside Dr East, Suite 160 Mb326, Statesboro, GA 30458 | 2019-01-07 |
| 1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1689186405 | Chandler James Herman | Specialist/Technologist | 590 Herty Dr., Statesboro, GA 30458 | 2017-11-02 |
| 1477009181 | Mama Doc Pediatrics, LLC | Pediatrics | 400 East Grady Street, Statesboro, GA 30458 | 2016-09-01 |
| 1053761171 | Rebekah Roessler | Specialist/Technologist | 2687 Akins Blvd, Statesboro, GA 30458 | 2016-06-20 |
| 1427412253 | Refocus Counseling and Consulting Services | Community/Behavioral Health | 4325 Country Club, 4, Statesboro, GA 30458 | 2016-04-07 |
| 1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
| 1760870398 | Jessica Pasternack | Specialist/Technologist | 2687 Akins Boulevard, Statesboro, GA 30458 | 2015-01-06 |
| 1922401629 | Nathan D'amico | Student in an Organized Health Care Education/Training Program | 15 W Grady Street Unit A, Statesboro, GA 30458 | 2014-10-08 |
| Find all providers in zip 30458 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217188 | Nikita Robinson | Counselor | 108b Nature Way, Statesboro, GA 30458-0501 | 2020-08-26 |
| 1568073203 | Kristen Noel Dickens | Counselor | 326 Myrtle Crossing Dr Ste 200, Statesboro, GA 30458-4689 | 2020-08-15 |
| 1679191944 | Angela Landers | Counselor | 303 Palomino Path, Statesboro, GA 30458-9703 | 2020-07-13 |
| 1851932073 | Richard E Cleveland | Counselor | 333 Pebble Stone Trl, Statesboro, GA 30461-1309 | 2019-09-30 |
| 1134658115 | Michael Jay Renfroe | Counselor | 3069 Mccall Blvd, Statesboro, GA 30461-4922 | 2017-06-05 |
| 1679004147 | Pamela Wells | Counselor | 552 E Main St Apt 925, Statesboro, GA 30461-4264 | 2017-03-25 |
| 1609316629 | Natosha Edenfield | Counselor | 327 S Walnut St, Statesboro, GA 30458-5418 | 2017-02-24 |
| 1386017069 | Kristina Brewton | Counselor | 9012 Whispering Pine Blvd, Statesboro, GA 30458-9211 | 2015-11-04 |
| 1831593888 | Tonja Dawn Roberts | Counselor | 301 Palomino Path, Statesboro, GA 30458-9703 | 2014-10-20 |
| 1700218179 | Kimberly Mi-suk Brauda | Counselor | Statesboro Psychiatric Associates, 116 Hill Pond Lane, Statesboro, GA 30458 | 2013-08-07 |
| Find all providers in STATESBORO | ||||
| City | STATESBORO |
| Zip Code | 30458 |
Please comment or provide details below to improve the information on CYNTHIA BEASLEY LEE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.