Provider Demographics
NPI:1457242612
Name:LEE, ANDREA RICHELLE (LMHP-E)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:RICHELLE
Last Name:LEE
Suffix:
Gender:F
Credentials:LMHP-E
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 WOODLAWN HTS
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:VA
Mailing Address - Zip Code:24531-3406
Mailing Address - Country:US
Mailing Address - Phone:434-709-0570
Mailing Address - Fax:434-709-0570
Practice Address - Street 1:109 WOODLAWN HTS
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:VA
Practice Address - Zip Code:24531-3406
Practice Address - Country:US
Practice Address - Phone:434-709-0570
Practice Address - Fax:434-709-0570
Is Sole Proprietor?:No
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0704014666101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health