Provider Demographics
NPI:1497886592
Name:STONE, EVELYN ANN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:EVELYN
Middle Name:ANN
Last Name:STONE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3817 GUTHRIE RD
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-6245
Mailing Address - Country:US
Mailing Address - Phone:972-523-0083
Mailing Address - Fax:972-926-2692
Practice Address - Street 1:3960 BROADWAY BLVD
Practice Address - Street 2:SUITE 220K
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-2593
Practice Address - Country:US
Practice Address - Phone:972-523-0083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX356081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical