Provider Demographics
NPI:1952415580
Name:PAYNE HEATH, ALICE (LPC)
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:
Last Name:PAYNE HEATH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16225 PARK TEN PL
Mailing Address - Street 2:16225 PARK TEN PLACE #42
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-7923
Mailing Address - Country:US
Mailing Address - Phone:713-568-7680
Mailing Address - Fax:671-380-2767
Practice Address - Street 1:16225 PARK TEN PL # 42
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-5138
Practice Address - Country:US
Practice Address - Phone:713-568-7680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16381101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional