Provider Demographics
NPI:1356767891
Name:LEHMAN, TRACY KOTTWITZ (MA, LMFT-ASSOCIATE)
Entity type:Individual
Prefix:MRS
First Name:TRACY
Middle Name:KOTTWITZ
Last Name:LEHMAN
Suffix:
Gender:F
Credentials:MA, LMFT-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2714 JOANEL ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-5304
Mailing Address - Country:US
Mailing Address - Phone:713-402-5046
Mailing Address - Fax:713-626-3667
Practice Address - Street 1:2714 JOANEL ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-5304
Practice Address - Country:US
Practice Address - Phone:713-402-5046
Practice Address - Fax:713-626-3667
Is Sole Proprietor?:No
Enumeration Date:2014-03-07
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201889106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist