Provider Demographics
NPI:1093319238
Name:STONE, MONDEE (MS, LPC-S)
Entity Type:Individual
Prefix:
First Name:MONDEE
Middle Name:
Last Name:STONE
Suffix:
Gender:F
Credentials:MS, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 SERENITY DR
Mailing Address - Street 2:
Mailing Address - City:DICKINSON
Mailing Address - State:TX
Mailing Address - Zip Code:77539-6368
Mailing Address - Country:US
Mailing Address - Phone:281-723-6672
Mailing Address - Fax:
Practice Address - Street 1:407 SERENITY DR
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:TX
Practice Address - Zip Code:77539-6368
Practice Address - Country:US
Practice Address - Phone:281-723-6672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-29
Last Update Date:2020-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61858101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty