LEE SKULLY LISW LICDC NPI 1033499603

NPI Information

  • NPI: 1033499603
  • Provider Name: LEE SKULLY, LISW, LICDC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 9083 MENTOR AVE
    MENTOR, OH
    ZIP 44060
  • Phone: (440) 205-2674

Map and Directions

Get Directions

NPI Details

Lee Skully, LISW, LICDC is an addiction (substance use disorder) counselor in Mentor, OH. Lee Skully, LISW, LICDC NPI is 1033499603. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9083 MENTOR AVE
MENTOR, OH
ZIP 44060-462
Phone: (440) 205-2674

The enumeration date for this NPI number is 8/26/2011 and was last updated on 8/26/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalI 7522OHIONo
2101YA0400XCounselorAddiction (Substance Use Disorder)954319OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.