Provider Demographics
NPI:1154491157
Name:LEE-MCCAIN, HOLLY (LPC)
Entity Type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:
Last Name:LEE-MCCAIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2616 S LOOP W STE 665
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2790
Mailing Address - Country:US
Mailing Address - Phone:713-294-2439
Mailing Address - Fax:832-200-9819
Practice Address - Street 1:2616 S LOOP W STE 665
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2790
Practice Address - Country:US
Practice Address - Phone:713-294-2439
Practice Address - Fax:832-200-9819
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17269101Y00000X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX147430601Medicaid