Provider Demographics
NPI:1689209975
Name:WOOLEY, STEFFANI (MA, LPC-I)
Entity Type:Individual
Prefix:
First Name:STEFFANI
Middle Name:
Last Name:WOOLEY
Suffix:
Gender:F
Credentials:MA, LPC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17350 STATE HWY 249
Mailing Address - Street 2:STE 220 #7784
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-6860
Mailing Address - Country:US
Mailing Address - Phone:469-556-2006
Mailing Address - Fax:
Practice Address - Street 1:106 S. BOIS D'ARC ST.
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126
Practice Address - Country:US
Practice Address - Phone:469-556-2006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-06
Last Update Date:2021-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77493101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health