Provider Demographics
NPI:1609551126
Name:NICOLE M LEE COUNSELING
Entity Type:Organization
Organization Name:NICOLE M LEE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:NIICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:720-422-1740
Mailing Address - Street 1:1920 EMERALD DR
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80504-7800
Mailing Address - Country:US
Mailing Address - Phone:720-422-1740
Mailing Address - Fax:
Practice Address - Street 1:1920 EMERALD DR
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80504-7800
Practice Address - Country:US
Practice Address - Phone:720-422-1740
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-21
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty