Provider Demographics
NPI:1336417740
Name:WHITESTONE COUNSELING, INC.
Entity Type:Organization
Organization Name:WHITESTONE COUNSELING, INC.
Other - Org Name:ROBERT HENLEY COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / DIRECTOR / PROVIDER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:HENLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:830-798-8589
Mailing Address - Street 1:PO BOX 714
Mailing Address - Street 2:
Mailing Address - City:MARBLE FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:78654-0714
Mailing Address - Country:US
Mailing Address - Phone:830-798-8589
Mailing Address - Fax:830-798-1639
Practice Address - Street 1:704B 5TH ST
Practice Address - Street 2:
Practice Address - City:MARBLE FALLS
Practice Address - State:TX
Practice Address - Zip Code:78654-5724
Practice Address - Country:US
Practice Address - Phone:830-798-8589
Practice Address - Fax:830-798-1639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-13
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9979101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX028257601Medicaid