Provider Demographics
NPI:1205263951
Name:VOLLANDS, STACY RAE (MS, MS, LPC, LCDC)
Entity type:Individual
Prefix:MRS
First Name:STACY
Middle Name:RAE
Last Name:VOLLANDS
Suffix:
Gender:F
Credentials:MS, MS, LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1302 LAMBOURNE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379
Mailing Address - Country:US
Mailing Address - Phone:281-251-5335
Mailing Address - Fax:
Practice Address - Street 1:500 MASON ST
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-4450
Practice Address - Country:US
Practice Address - Phone:281-255-9922
Practice Address - Fax:281-255-9064
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-26
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71825101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional