Willis, Lee T

Willis, Lee T is an individual health care provider with primary practice located at 401 Branard St , Houston TX 77006-5015. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Nursing Service Providers / Registered Nurse. Behavioral Health & Social Service Providers / Pastoral is her primary health care specialty. Willis, Lee T can be contacted via phone (713) 529-0037.

Contact Information

Primary practice address
401 Branard St Houston TX 77006-5015
Fax: (713) 526-4367
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X 9496 Texas
Nursing Service Providers / Registered Nurse 163W00000X 421862 Texas

Profile Details

NPI number 1083717698
LBN Legal business name Willis, Lee T
Credentials MA LPC RN
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Mar 3rd, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083717698 NPPES
Texas Other 82228L BCBS
Texas MEDICAID 095412501 BCBS

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