Provider Demographics
NPI:1952943904
Name:KAREN LEE'S PSYCHIATRIC HEALTH CARE
Entity Type:Organization
Organization Name:KAREN LEE'S PSYCHIATRIC HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:LORETTA
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-800-5902
Mailing Address - Street 1:1980 E LOHMAN AVE STE B
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88001-3194
Mailing Address - Country:US
Mailing Address - Phone:575-800-5902
Mailing Address - Fax:575-888-4136
Practice Address - Street 1:1980 E LOHMAN AVE STE B
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88001-3194
Practice Address - Country:US
Practice Address - Phone:575-800-5902
Practice Address - Fax:575-888-4136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-10
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental HealthGroup - Single Specialty