Provider Demographics
NPI:1699221440
Name:BELL, STANLEY GLENN (MA, LBSW, CRC, LPC)
Entity Type:Individual
Prefix:MR
First Name:STANLEY
Middle Name:GLENN
Last Name:BELL
Suffix:
Gender:M
Credentials:MA, LBSW, CRC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 W 1ST ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:ELGIN
Mailing Address - State:TX
Mailing Address - Zip Code:78621-2659
Mailing Address - Country:US
Mailing Address - Phone:512-563-0192
Mailing Address - Fax:512-852-4742
Practice Address - Street 1:101 W 1ST ST
Practice Address - Street 2:SUITE F
Practice Address - City:ELGIN
Practice Address - State:TX
Practice Address - Zip Code:78621-2659
Practice Address - Country:US
Practice Address - Phone:512-563-0192
Practice Address - Fax:512-852-4742
Is Sole Proprietor?:No
Enumeration Date:2016-08-31
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71886101YP2500X
TX35680104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No104100000XBehavioral Health & Social Service ProvidersSocial Worker