Provider Demographics
NPI:1336708239
Name:KRAUSE-HENRY, LEE ANN (LSSP, NCSP, LPC)
Entity Type:Individual
Prefix:
First Name:LEE
Middle Name:ANN
Last Name:KRAUSE-HENRY
Suffix:
Gender:F
Credentials:LSSP, NCSP, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3526 E FM 528 RD STE 207
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-5000
Mailing Address - Country:US
Mailing Address - Phone:281-819-7004
Mailing Address - Fax:
Practice Address - Street 1:3526 E FM 528 RD STE 207
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-5000
Practice Address - Country:US
Practice Address - Phone:281-819-7004
Practice Address - Fax:281-819-7845
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-13
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41997103TS0200X
TX19580101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool