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

Simone Isabel Van der Lee

Individual provider Mental Health Counselor · NPI 1790504512

Simone Isabel Van der Lee is a Mental Health Counselor in Conway, South Carolina. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

164 Waccamaw Medical Park Dr
Conway, SC 29526
Phone: (843) 347-4888
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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

Record details

NPI number1790504512
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 8, 2024
Last updated in NPPESOctober 8, 2024
Certification dateOctober 4, 2024
Mailing address164 Waccamaw Medical Park Dr., Conway, SC 29526

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