Provider Demographics
NPI:1245517077
Name:STAGG, HELEN R (LMSW)
Entity type:Individual
Prefix:MS
First Name:HELEN
Middle Name:R
Last Name:STAGG
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3353 ELGIN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-3531
Mailing Address - Country:US
Mailing Address - Phone:713-374-1285
Mailing Address - Fax:713-651-8045
Practice Address - Street 1:3353 ELGIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-3531
Practice Address - Country:US
Practice Address - Phone:713-374-1285
Practice Address - Fax:713-651-8045
Is Sole Proprietor?:No
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX55573171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator