Provider Demographics
NPI:1912622325
Name:PEAK WELLNESS PSYCHIATRY
Entity type:Organization
Organization Name:PEAK WELLNESS PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:LEHTO
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, PMHNP-BC, FNP-C
Authorized Official - Phone:207-400-1486
Mailing Address - Street 1:124 BULL RUN
Mailing Address - Street 2:
Mailing Address - City:HOLDEN
Mailing Address - State:MA
Mailing Address - Zip Code:01520-2641
Mailing Address - Country:US
Mailing Address - Phone:207-400-1486
Mailing Address - Fax:
Practice Address - Street 1:800 MAIN ST STE 10
Practice Address - Street 2:
Practice Address - City:HOLDEN
Practice Address - State:MA
Practice Address - Zip Code:01520-1838
Practice Address - Country:US
Practice Address - Phone:207-400-1486
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-07
Last Update Date:2023-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty