Provider Demographics
NPI:1437760238
Name:STANLEY, ELIZABETH HIGHTOWER (MED, LPC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:HIGHTOWER
Last Name:STANLEY
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2011 POSSUM CREEK RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77017-6709
Mailing Address - Country:US
Mailing Address - Phone:281-827-6161
Mailing Address - Fax:
Practice Address - Street 1:2011 POSSUM CREEK RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77017-6709
Practice Address - Country:US
Practice Address - Phone:281-827-6161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-14
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX78074101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor