Individual ProviderCrystal M LeeSocial WorkerBehavioral Health & Social Service ProvidersPractice Address330 Feu Follet Rd Apt 220, Lafayette, LA 70508-4260(337) 852-9151PECOS EnrollmentBased on the most recent information from CMS, provider Crystal M Lee does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1104421890Provider TypeIndividualFull NameLee, Crystal MCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date12/1/2020Last Updated12/1/2020Contact InformationPractice LocationPractice Address330 Feu Follet Rd Apt 220, Lafayette, LA 70508-4260Phone(337) 852-9151FaxUnlisted FaxMailing LocationMailing Address330 Feu Follet Rd Apt 220, Lafayette, LA 70508-4260Phone(337) 852-9151FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense10555Louisiana