Provider Demographics
NPI:1598280497
Name:STEPHEN T. BELK PSY.D. PLLC
Entity Type:Organization
Organization Name:STEPHEN T. BELK PSY.D. PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:TAYLOR
Authorized Official - Last Name:BELK
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:830-590-0377
Mailing Address - Street 1:305 ONYX DR
Mailing Address - Street 2:
Mailing Address - City:HORSESHOE BAY
Mailing Address - State:TX
Mailing Address - Zip Code:78657-6340
Mailing Address - Country:US
Mailing Address - Phone:830-596-0377
Mailing Address - Fax:888-247-6536
Practice Address - Street 1:409 INDUSTRIAL BLVD STE 300
Practice Address - Street 2:
Practice Address - City:BURNET
Practice Address - State:TX
Practice Address - Zip Code:78611-4557
Practice Address - Country:US
Practice Address - Phone:830-596-0377
Practice Address - Fax:888-247-6536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-11
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33688103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1942219357Medicaid
TX1598280497OtherNPI2
MO1942219357OtherNPI I