Provider Demographics
NPI:1932681657
Name:PAMELA STUNTZ COUNSELING LLC
Entity Type:Organization
Organization Name:PAMELA STUNTZ COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMFT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:STUNTZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:817-253-2013
Mailing Address - Street 1:6812 TRINITY LANDING DR N
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-3742
Mailing Address - Country:US
Mailing Address - Phone:817-253-2013
Mailing Address - Fax:844-361-6861
Practice Address - Street 1:6420 SOUTHWEST BLVD STE 115
Practice Address - Street 2:
Practice Address - City:BENBROOK
Practice Address - State:TX
Practice Address - Zip Code:76109-3929
Practice Address - Country:US
Practice Address - Phone:817-253-2013
Practice Address - Fax:844-361-6861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-29
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202468106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX202468OtherLICENSE