Provider Demographics
NPI:1942991872
Name:HOOPER, STACY (MS, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:STACY
Middle Name:
Last Name:HOOPER
Suffix:
Gender:F
Credentials:MS, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7057 CLUBGATE DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78413-4523
Mailing Address - Country:US
Mailing Address - Phone:361-443-5218
Mailing Address - Fax:
Practice Address - Street 1:7109 S STAPLES ST STE C
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78413-5529
Practice Address - Country:US
Practice Address - Phone:361-563-3962
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-19
Last Update Date:2023-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86225101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional