Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lee Tyson Wade, LPC

Individual provider Mental Health Counselor · NPI 1174887483

Lee Tyson Wade, LPC is a Mental Health Counselor in Valdosta, Georgia. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1205 Baytree Rd #8
Valdosta, GA 31602
Phone: (229) 244-5533
Fax: (229) 253-9066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X

Record details

NPI number1174887483
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedJuly 2, 2012
Last updated in NPPESJuly 2, 2012
Mailing address1205 Baytree Road, 8, Valdosta, GA 31602

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