Healthcare Provider Details

I. General information

NPI: 1912819913
Provider Name (Legal Business Name): CADE LEMONS PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10655 SIX PINES DR STE 290
SPRING TX
77380-3416
US

IV. Provider business mailing address

5151 EDINA INDUSTRIAL BLVD STE 550
EDINA MN
55439-3050
US

V. Phone/Fax

Practice location:
  • Phone: 651-505-3273
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number41412
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: