Provider Demographics
NPI:1851269682
Name:STANLEY, TERRY (LPC)
Entity type:Individual
Prefix:DR
First Name:TERRY
Middle Name:
Last Name:STANLEY
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31322 KNEBEL RD
Mailing Address - Street 2:
Mailing Address - City:WALLER
Mailing Address - State:TX
Mailing Address - Zip Code:77484-9548
Mailing Address - Country:US
Mailing Address - Phone:979-255-6991
Mailing Address - Fax:
Practice Address - Street 1:31322 KNEBEL RD
Practice Address - Street 2:
Practice Address - City:WALLER
Practice Address - State:TX
Practice Address - Zip Code:77484-9548
Practice Address - Country:US
Practice Address - Phone:979-255-6991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-24
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76780101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health