Provider Demographics
NPI:1427712231
Name:STOKES, SIARRA (LPC)
Entity type:Individual
Prefix:MS
First Name:SIARRA
Middle Name:
Last Name:STOKES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3302 N MAIN ST APT 10109
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:TX
Mailing Address - Zip Code:76513-1146
Mailing Address - Country:US
Mailing Address - Phone:254-317-2596
Mailing Address - Fax:
Practice Address - Street 1:3500 S I-35 FRONTAGE RD
Practice Address - Street 2:
Practice Address - City:BELTON
Practice Address - State:TX
Practice Address - Zip Code:76513-7651
Practice Address - Country:US
Practice Address - Phone:254-791-7206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83418101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional