Provider Demographics
NPI:1346610417
Name:MYERS, KELLEE MAY (LPC, LAC)
Entity type:Individual
Prefix:
First Name:KELLEE
Middle Name:MAY
Last Name:MYERS
Suffix:
Gender:F
Credentials:LPC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 GARDEN CTR STE 140
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-1790
Mailing Address - Country:US
Mailing Address - Phone:720-347-5218
Mailing Address - Fax:303-353-0818
Practice Address - Street 1:80 GARDEN CTR STE 140
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-1790
Practice Address - Country:US
Practice Address - Phone:720-347-5218
Practice Address - Fax:303-353-0818
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-01
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LPC.0015811101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health