Provider Demographics
NPI:1891587895
Name:LEE, NIKKI MORATH (LPC-A)
Entity type:Individual
Prefix:
First Name:NIKKI
Middle Name:MORATH
Last Name:LEE
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 CARTERS GROVE RD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-9014
Mailing Address - Country:US
Mailing Address - Phone:864-230-2313
Mailing Address - Fax:
Practice Address - Street 1:510 CARTERS GROVE RD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-9014
Practice Address - Country:US
Practice Address - Phone:864-230-2313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10164101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional