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
Phone: (713) 529-0037
Fax: (713) 526-4367
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1083717698 | NPPES |
Texas | Other | 82228L | BCBS |
Texas | MEDICAID | 095412501 | BCBS |
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