Individual ProviderBianca Lavonne LeeCounselorBehavioral Health & Social Service ProvidersPractice Address4450 Mitchellville Rd # 1065, Bowie, MD 20716-3112(443) 500-0630(480) 518-1336PECOS EnrollmentBased on the most recent information from CMS, provider Bianca Lavonne 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 8 days ago.Profile DetailsProvider ID1134512130Provider TypeIndividualFull NameLee, Bianca LavonneCredentialLCPCGenderFemaleSole ProprietorNoEnumeration Date3/15/2015Last Updated2/21/2025Contact InformationPractice LocationPractice Address4450 Mitchellville Rd # 1065, Bowie, MD 20716-3112Phone(443) 500-0630FaxUnlisted FaxMailing LocationMailing Address12213 Malta Ln, Bowie, MD 20715-1811Phone(480) 518-1336FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLC82222MarylandCode101YP2500XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLGP6188Maryland