Provider Demographics
NPI:1902633316
Name:LEE, ERROL EUGENE (LCSW)
Entity type:Individual
Prefix:
First Name:ERROL
Middle Name:EUGENE
Last Name:LEE
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:680 ALA MOANA BLVD APT 311
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-5420
Mailing Address - Country:US
Mailing Address - Phone:808-284-1906
Mailing Address - Fax:
Practice Address - Street 1:680 ALA MOANA BLVD APT 311
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-5420
Practice Address - Country:US
Practice Address - Phone:808-284-1906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-18
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILCSW-52241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical