Individual provider · Type 1 NPI

Caleb Daekyu Lee, L.AC, OMD, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Columbia, MD

NPI number 1649413758 Active

Practice location

9861 Broken Land Pkwy Ste 100
Columbia, MD 21046-3031

Other practice locations

  • 8005 High Castle Rd, Ellicott City, MD 21043-5517 · (443) 848-0279
  • 5018 Dorsey Hall Dr Ste 104, Ellicott City, MD 21042-7856 · (410) 213-5233

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XR253173 (MD)
Acupuncturist 171100000XU01817 (MD)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

15 other providers at this address

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About NPI 1649413758

Caleb Daekyu Lee, L.AC, OMD, PMHNP-BC's National Provider Identifier is 1649413758, issued on Apr 20, 2009. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Columbia, MD. The record was last updated on Oct 6, 2025.