=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346066891
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LEE THERAPY AND ASSESSMENT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/02/2024
-----------------------------------------------------
Last Update Date | 01/06/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 807 8TH ST STE 501
-----------------------------------------------------
City | WICHITA FALLS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76301-3304
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 940-228-3803
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 807 8TH ST STE 501
-----------------------------------------------------
City | WICHITA FALLS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76301-3304
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 940-228-3803
-----------------------------------------------------
Fax | 940-322-1074
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MEGANN LEE
-----------------------------------------------------
Credential | MA, LPA
-----------------------------------------------------
Telephone | 325-260-6558
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101Y00000X
-----------------------------------------------------
Taxonomy Name | Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 103T00000X
-----------------------------------------------------
Taxonomy Name | Psychologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------