Provider Demographics
NPI:1013343540
Name:GEORGE, STALIN (LMHC)
Entity type:Individual
Prefix:MR
First Name:STALIN
Middle Name:
Last Name:GEORGE
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 LIBERTY ST STE 133
Mailing Address - Street 2:
Mailing Address - City:PELLA
Mailing Address - State:IA
Mailing Address - Zip Code:50219-1776
Mailing Address - Country:US
Mailing Address - Phone:641-230-9093
Mailing Address - Fax:
Practice Address - Street 1:817 4TH AVE
Practice Address - Street 2:
Practice Address - City:GRINNELL
Practice Address - State:IA
Practice Address - Zip Code:50112-2042
Practice Address - Country:US
Practice Address - Phone:641-323-2729
Practice Address - Fax:888-920-1276
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-16
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA092421101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health