Provider Demographics
NPI:1194301176
Name:MCGEE, LESLEY MICHELE (LMHC, RYT-200)
Entity type:Individual
Prefix:
First Name:LESLEY
Middle Name:MICHELE
Last Name:MCGEE
Suffix:
Gender:F
Credentials:LMHC, RYT-200
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:881 WORCESTER ST # 1003
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-2087
Mailing Address - Country:US
Mailing Address - Phone:857-540-5623
Mailing Address - Fax:
Practice Address - Street 1:1211 SARAH DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-2147
Practice Address - Country:US
Practice Address - Phone:857-540-5623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-22
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11987251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health