| Doctor Name: | SHANIKA F LEE |
| NPI Number: | 1477996700 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PCMHT |
| License Number: | 2543 |
| Business Practice Address: | 3550 Highway, 468 West Fiscal Services Whitfield, MS - 391930157 |
| Business Phone Number: | 6013518000 |
| Business Fax Number: | |
| Mailing Address: | P.o. Box 1, 3550 Highway, 468 West Fiscal Services WHITFIELD |
| State: | MS |
| Postal Code: | 391930175 |
| Phone Number: | 6013518000 |
| Fax Number: | |
| NPI Enumeration Date: | 04/17/2013 |
| NPI Last Update Date: | 01/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 2543 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |