Healthcare Provider Details

I. General information

NPI: 1083455422
Provider Name (Legal Business Name): LEE & ME PSYCHIATRY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2024
Last Update Date: 05/31/2024
Certification Date: 05/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

134 F ST STE 204
SALIDA CO
81201-2160
US

IV. Provider business mailing address

5340 S QUEBEC ST STE 225N
GREENWOOD VILLAGE CO
80111-1934
US

V. Phone/Fax

Practice location:
  • Phone: 720-734-4411
  • Fax: 720-204-7497
Mailing address:
  • Phone: 720-734-4411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JEANNA DIETZ
Title or Position: OWNER
Credential:
Phone: 720-666-9819