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SIMONE ISABEL VAN DER LEE
NPI 1790504512
Counselor - Mental Health in Conway, SC

Active since October 08, 2024
164 WACCAMAW MEDICAL PARK DR., CONWAY, SC 29526(843) 347-4888 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Simone Isabel Van Der Lee NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIMONE ISABEL VAN DER LEE (NPI 1790504512) is an individual mental health provider in Conway, South Carolina and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1790504512
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSIMONE ISABEL VAN DER LEE
Location Address164 WACCAMAW MEDICAL PARK DR.Conway, SC 29526
Mailing Address164 Waccamaw Medical Park Dr.Conway, SC 29526 · (843) 347-4888
Phone(843) 347-4888
Sole ProprietorNo
Enumeration DateOctober 8, 2024
NPPES CertifiedOctober 4, 2024
✔ NPI 1790504512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
164 WACCAMAW MEDICAL PARK DR., Conway, SC 29526
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. COURTNEY JEANETTE SMITH
Counselor
164 WACCAMAW MEDICAL PARK DR.
CONWAY, SC 29526
Horry County (843) 347-5060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Simone Van Der Lee's NPI number?

The NPI number for Simone Van Der Lee is 1790504512. It was assigned to this individual provider in the NPPES registry on October 8, 2024.

Where is Simone Van Der Lee located?

Simone Van Der Lee practices at 164 Waccamaw Medical Park Dr., Conway, SC 29526. The listed phone number is (843) 347-4888.

What is Simone Van Der Lee's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Simone Van Der Lee was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.