Provider Demographics
NPI:1326765272
Name:LEE, KYUNG HEE (LPCA)
Entity Type:Individual
Prefix:MRS
First Name:KYUNG HEE
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:KELLY
Other - Middle Name:
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4513 W UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75209-3858
Mailing Address - Country:US
Mailing Address - Phone:407-285-9764
Mailing Address - Fax:
Practice Address - Street 1:5300 TOWN AND COUNTRY BLVD STE 130
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9789
Practice Address - Country:US
Practice Address - Phone:972-234-6634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-21
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87961101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health