Provider Demographics
NPI:1508646944
Name:ANGER, KELLEE SHEA (MED, LPC-ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:KELLEE
Middle Name:SHEA
Last Name:ANGER
Suffix:
Gender:F
Credentials:MED, LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 WOODFOREST PKWY N STE 250-120
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77316-6501
Mailing Address - Country:US
Mailing Address - Phone:832-906-0923
Mailing Address - Fax:
Practice Address - Street 1:2300 WOODFOREST PKWY N STE 250-120
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77316-6501
Practice Address - Country:US
Practice Address - Phone:832-514-2565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor