Provider Demographics
NPI:1225629702
Name:KS STANLEY, PSYD, PLLC
Entity Type:Organization
Organization Name:KS STANLEY, PSYD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST AND OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KS
Authorized Official - Middle Name:
Authorized Official - Last Name:STANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:713-854-1403
Mailing Address - Street 1:2211 NORFOLK ST STE 204
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-1013
Mailing Address - Country:US
Mailing Address - Phone:346-232-5060
Mailing Address - Fax:
Practice Address - Street 1:2211 NORFOLK ST STE 204
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-1013
Practice Address - Country:US
Practice Address - Phone:346-232-5060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-28
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty