Provider Demographics
NPI:1720252265
Name:LEE SIMS, CONNIE LOUISE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CONNIE
Middle Name:LOUISE
Last Name:LEE SIMS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:CONNIE
Other - Middle Name:LOUISE
Other - Last Name:LEE-SIMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:2731 GREGWAY LN
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-2929
Mailing Address - Country:US
Mailing Address - Phone:713-816-1210
Mailing Address - Fax:281-261-8101
Practice Address - Street 1:2731 GREGWAY LN
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-2929
Practice Address - Country:US
Practice Address - Phone:713-816-1210
Practice Address - Fax:281-261-8101
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-16
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX061161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical