Decker, Lee Ann
Decker, Lee Ann is an individual health care provider with primary practice located at 104 Jordan Plaza Blvd Ste 402-403 , Tyler TX 75704-2055. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Decker, Lee Ann can be contacted via phone (903) 581-9472.Contact Information
Primary practice address
104 Jordan Plaza Blvd Ste 402-403
Tyler TX 75704-2055
Phone: (903) 581-9472
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 8211 | Texas |
Profile Details
| NPI number | 1386198901 |
|---|---|
| LBN Legal business name | Decker, Lee Ann |
| Credentials | LCDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2016 |
| Last updated | Aug 11th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386198901 | NPPES |
| Texas | Other | 8211 | LCDC |
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