Healthcare Provider Details

I. General information

NPI: 1336063171
Provider Name (Legal Business Name): ALIZEH KHAN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO 23144 CINCO RANCH BLVD SUITE B
KATY TX
77494
US

IV. Provider business mailing address

901 FM 517 RD W APT 118
DICKINSON TX
77539-3974
US

V. Phone/Fax

Practice location:
  • Phone: 281-241-8871
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number101320
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: