Provider Demographics
NPI:1528248010
Name:LEE, ALICE TAM (LMFT,LPC)
Entity type:Individual
Prefix:MRS
First Name:ALICE
Middle Name:TAM
Last Name:LEE
Suffix:
Gender:F
Credentials:LMFT,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6812 SPANISH BAY CT
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-5071
Mailing Address - Country:US
Mailing Address - Phone:281-772-4424
Mailing Address - Fax:713-778-1180
Practice Address - Street 1:7001 CORPORATE DR
Practice Address - Street 2:SUITE 250
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-5192
Practice Address - Country:US
Practice Address - Phone:281-772-4424
Practice Address - Fax:713-778-1180
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-13
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15991101YP2500X
TX4756106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist