Provider Demographics
NPI:1033702899
Name:LEE-ASHLEY, RACHEL B
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:B
Last Name:LEE-ASHLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1660 N LAFAYETTE ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1531
Mailing Address - Country:US
Mailing Address - Phone:720-213-8044
Mailing Address - Fax:
Practice Address - Street 1:1660 N LAFAYETTE ST UNIT 1
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1531
Practice Address - Country:US
Practice Address - Phone:720-213-8044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-12
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO099235391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical