Individual ProviderKeona LeeSocial WorkerBehavioral Health & Social Service ProvidersPractice Address610 Thimble Shoals Blvd # 403, Newport News, VA 23606-2573(901) 672-2228(757) 298-7094PECOS EnrollmentBased on the most recent information from CMS, provider Keona 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 2 days ago.Profile DetailsProvider ID1467241299Provider TypeIndividualFull NameLee, KeonaCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date5/6/2025Last Updated5/6/2025Contact InformationPractice LocationPractice Address610 Thimble Shoals Blvd # 403, Newport News, VA 23606-2573Phone(901) 672-2228Fax(901) 672-2228Mailing LocationMailing Address31 Harwood Ave, Hampton, VA 23664-1044Phone(757) 298-7094FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense0904018217Virginia