Provider Demographics
NPI:1174755342
Name:LEU, GRACE SHIHEN
Entity type:Individual
Prefix:MISS
First Name:GRACE
Middle Name:SHIHEN
Last Name:LEU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3130 WALNUT BEND LN APT 403
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-4759
Mailing Address - Country:US
Mailing Address - Phone:281-940-8231
Mailing Address - Fax:
Practice Address - Street 1:3130 WALNUT BEND LN APT 403
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-4759
Practice Address - Country:US
Practice Address - Phone:281-940-8231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65528101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor