Savannah Stanley, MA, LPC
Counselor, Mental Health in Austin, TX. Individual provider (NPI-1).
NPI number1164091526
StatusActive
Last updated in NPPESOct 25, 2023
Details
- NPI
- 1164091526
- Entity type
- Individual (NPI-1)
- Name
- Savannah Stanley
- Credential
- MA, LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2021
- Certification date
- Oct 25, 2023
- Last updated
- Oct 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 81985 | TX | Yes |
Practice location
1714 Fortview Rd Ste 106Austin, TX 78704-7659
Phone 512-887-8036
Mailing address
3415 Malmaison RdKilleen, TX 76542-6520
Phone 512-298-6307
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