LEE STREET SERVICES LLC
NPI 1811433089
Community Based Residential Treatment Facility, Mental Illness in Kernersville, NC
About Lee Street Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEE STREET SERVICES LLC (NPI 1811433089) is a healthcare organization registered as a community based residential treatment facility, mental illness in Kernersville, North Carolina and active in the NPI registry since January 2017. The organization lists Michael Headley, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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 Lee Street Services LLC's NPI number?
The NPI number for Lee Street Services LLC is 1811433089. It was assigned to this organization in the NPPES registry on January 12, 2017.
Where is Lee Street Services LLC located?
Lee Street Services LLC is located at 1202 East Mountain St, Unit C, Kernersville, NC 27406. The listed phone number is (336) 655-5370.
What is Lee Street Services LLC's specialty?
The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
When was this NPI record last updated?
The NPPES record for Lee Street Services LLC was last updated on January 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.
# Lee Street Services Llc · NPI 1811433089
Community Based Residential Treatment Facility, Mental Illness organization in Kernersville, North Carolina. Organization record, active in the CMS NPPES registry since January 12, 2017.
## Identity
- **NPI:** 1811433089 (Entity type: Organization)
- **Enumerated:** January 12, 2017
- **Primary specialty:** Community Based Residential Treatment Facility, Mental Illness · taxonomy 320800000X
- **Organization subpart:** No
- **Authorized official:** Michael Headley, PRESIDENT
## Practice location
- **Address:** 1202 EAST MOUNTAIN ST, UNIT C, Kernersville, NC 27406
- **Phone:** (336) 655-5370
## Record status
- **NPPES last updated:** January 12, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1811433089) · Data from the CMS NPPES public registry.