Provider Demographics
NPI:1972601284
Name:J.M. LEES THERAPEUTIC SERVICES
Entity Type:Organization
Organization Name:J.M. LEES THERAPEUTIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:M
Authorized Official - Last Name:LEES
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CADC, TLMFT
Authorized Official - Phone:785-845-5416
Mailing Address - Street 1:1505 SW FAIRLAWN RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-6400
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1505 SW FAIRLAWN RD
Practice Address - Street 2:SUITE E
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-6400
Practice Address - Country:US
Practice Address - Phone:785-845-5416
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS558251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management