Healthcare Provider Details

I. General information

NPI: 1366184582
Provider Name (Legal Business Name): ALEXANDER CHUNG LEE MS, LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2022
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 W SPRING CREEK PKWY STE 116
PLANO TX
75023-4508
US

IV. Provider business mailing address

2222 W SPRING CREEK PKWY STE 116
PLANO TX
75023-4508
US

V. Phone/Fax

Practice location:
  • Phone: 844-824-8775
  • Fax:
Mailing address:
  • Phone: 844-824-8775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number83073
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: