Provider Demographics
NPI:1083455422
Name:LEE & ME PSYCHIATRY, PLLC
Entity type:Organization
Organization Name:LEE & ME PSYCHIATRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIETZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-666-9819
Mailing Address - Street 1:5340 S QUEBEC ST STE 225N
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-1934
Mailing Address - Country:US
Mailing Address - Phone:720-734-4411
Mailing Address - Fax:
Practice Address - Street 1:134 F ST STE 204
Practice Address - Street 2:
Practice Address - City:SALIDA
Practice Address - State:CO
Practice Address - Zip Code:81201-2160
Practice Address - Country:US
Practice Address - Phone:720-734-4411
Practice Address - Fax:720-204-7497
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LEE & ME PSYCHIATRY, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-31
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty