Individual ProviderSomin LeeBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address7491 Mossdale Way, Columbus, GA 31909-1787(850) 266-4697PECOS EnrollmentBased on the most recent information from CMS, provider Somin 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 ID1245004290Provider TypeIndividualFull NameLee, SominGenderFemaleSole ProprietorNoEnumeration Date11/9/2023Last Updated11/9/2023Contact InformationPractice LocationPractice Address7491 Mossdale Way, Columbus, GA 31909-1787Phone(850) 266-4697FaxUnlisted FaxMailing LocationMailing Address7955 Kessler Ct, Columbus, GA 31905-9562PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseRBT-23-309631Georgia