Provider Demographics
NPI:1306404447
Name:LESSIG, ZACHARY (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:
Last Name:LESSIG
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8080 N STADIUM DR STE 180
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-1830
Mailing Address - Country:US
Mailing Address - Phone:832-822-3750
Mailing Address - Fax:
Practice Address - Street 1:8080 N STADIUM DR STE 180
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1830
Practice Address - Country:US
Practice Address - Phone:832-822-3750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-04
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX612741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical