Provider Demographics
NPI:1902289986
Name:STUCKEY, TESSA (MA, LPC-I)
Entity type:Individual
Prefix:
First Name:TESSA
Middle Name:
Last Name:STUCKEY
Suffix:
Gender:F
Credentials:MA, LPC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1610 WOODSTEAD CT
Mailing Address - Street 2:SUITE 420
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3413
Mailing Address - Country:US
Mailing Address - Phone:281-363-4220
Mailing Address - Fax:
Practice Address - Street 1:1610 WOODSTEAD CT
Practice Address - Street 2:SUITE 420
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3413
Practice Address - Country:US
Practice Address - Phone:281-363-4220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-08
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health