| Doctor Name: | RANESHIA N LEE |
| NPI Number: | 1063816981 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW |
| License Number: | |
| Business Practice Address: | 2725 Highway 51 S Hernando, MS - 386322634 |
| Business Phone Number: | 6624491808 |
| Business Fax Number: | 6624491811 |
| Mailing Address: | 1928 Thomas St, HORN LAKE |
| State: | MS |
| Postal Code: | 386373317 |
| Phone Number: | 9018311739 |
| Fax Number: | |
| NPI Enumeration Date: | 10/21/2014 |
| NPI Last Update Date: | 10/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YS0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |