Provider Demographics
NPI:1376894337
Name:LEGRICE, LEE NORRIS (PHD, LCSW)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:NORRIS
Last Name:LEGRICE
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 S HULEN ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76109-1504
Mailing Address - Country:US
Mailing Address - Phone:817-307-8725
Mailing Address - Fax:
Practice Address - Street 1:2800 S HULEN ST
Practice Address - Street 2:SUITE 203
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76109-1504
Practice Address - Country:US
Practice Address - Phone:817-307-8725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-30
Last Update Date:2012-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX254111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical