Active NPIIndividual providerSole proprietor

Beverly Lee, PMHNP-BC

Nurse Practitioner, Psych/Mental Health in Gastonia, North Carolina

NPI Number1063169738
Practice location
1337 E Garrison Blvd, Gastonia, NC 28054-5127
Fax
—
Last updated
January 19, 2026

Beverly Lee is a Nurse Practitioner, Psych/Mental Health based in Gastonia, NC. Beverly Lee practices in Gastonia, NC and has the professional credentials of PMHNP-BC. The NPI Number for Beverly Lee is 1063169738 and holds a License No. 15509 (CT). The current practice location address for Beverly Lee is 1337 E Garrison Blvd, Gastonia, NC 28054-5127 and can be reached out via phone at 980-229-2760.

Provider Profile Details

NPI Number
1063169738
Provider Name
Beverly Lee
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1337 E Garrison Blvd, Gastonia, NC 28054-5127
Phone Number
980-229-2760
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
March 3, 2022
Last Update Date
January 19, 2026
Certification Date
January 19, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1337 E Garrison Blvd
Gastonia, NC 28054-5127
Zip
28054-5127
Phone Number
980-229-2760
Gastonia, NC 28054Get directions →

Provider Business Mailing Address Details

Address
Po Box 744786
Atlanta, GA 30374-4786
City
Atlanta
State
GA
Zip
30374-4786

License Information

License Number (1)
15509
License State (1)
CT
Taxonomy (1)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (2)
LEE-STUP6
License State (2)
NC
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Beverly Lee, PMHNP-BC?

The NPI number of Beverly Lee, PMHNP-BC is 1063169738. It was assigned on March 3, 2022 and is currently active in the NPPES registry.

What is the specialty of Beverly Lee, PMHNP-BC?

Beverly Lee, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CT under license number 15509.

Where does Beverly Lee, PMHNP-BC practice?

The practice location is 1337 E Garrison Blvd, Gastonia, NC 28054-5127. The office can be reached at 980-229-2760 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063169738 directly on the NPPES registry website.

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