Provider Demographics
NPI:1912379645
Name:LEE, DELPHINE LIH (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DELPHINE
Middle Name:LIH
Last Name:LEE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1006 KENSINGTON DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-2233
Mailing Address - Country:US
Mailing Address - Phone:713-955-9023
Mailing Address - Fax:
Practice Address - Street 1:2006 BROADWAY ST
Practice Address - Street 2:SUITE 104
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-5564
Practice Address - Country:US
Practice Address - Phone:713-955-9023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-21
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX556631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical