Essence D Lee | Springfield, IL • PECOS Search

Essence D Lee

Counselor

Behavioral Health & Social Service Providers

2316 Westview Dr, Springfield, IL 62704-2170

PECOS Enrollment

Based on the most recent information from CMS, provider Essence D Lee does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1205301660
Provider Type
Individual
Full Name
Lee, Essence D
Credential
MA,LCPC

Gender
Female
Sole Proprietor
No
Enumeration Date
10/11/2018
Last Updated
10/11/2018

Contact Information

Practice Location

2316 Westview Dr, Springfield, IL 62704-2170

Unlisted Fax

Mailing Location

2316 Westview Dr, Springfield, IL 62704-2170

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer