Provider Demographics
NPI:1316646680
Name:CATHERINE C STANSBURY PLLC
Entity type:Organization
Organization Name:CATHERINE C STANSBURY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:CONTEE
Authorized Official - Last Name:STANSBURY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:737-289-0055
Mailing Address - Street 1:1000 GATTIS SCHOOL RD STE 930
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-2571
Mailing Address - Country:US
Mailing Address - Phone:737-289-0055
Mailing Address - Fax:833-290-0021
Practice Address - Street 1:1000 GATTIS SCHOOL RD STE 930
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-2571
Practice Address - Country:US
Practice Address - Phone:737-289-0055
Practice Address - Fax:833-290-0021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty