MEDICARE: MRS. ALICE TAM LEE LMFT,LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	15991	TX
2	106H00000X	Marriage & Family Therapist	4756	TX

General Provider Information

NPI Number	:	1528248010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALICE TAM LEE LMFT,LPC

Provider Business Mailing Address
First Line	:	6812 SPANISH BAY CT
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-5071
Country	:	US
Telephone Number	:	281-772-4424
Fax Number	:	713-778-1180

Provider Business Practice Location Address
First Line	:	7001 CORPORATE DR
Second Line	:	SUITE 250
City	:	HOUSTON
State	:	TX
Zip	:	77036-5192
Country	:	US
Telephone Number	:	281-772-4424
Fax Number	:	713-778-1180

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2007
Last Update Date	:	11/13/2007

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