Provider Demographics
NPI:1912731837
Name:STUBBLEFIELD, TAURIAH LYNN (LCSW)
Entity type:Individual
Prefix:MS
First Name:TAURIAH
Middle Name:LYNN
Last Name:STUBBLEFIELD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8500 HARWOOD RD APT 4114
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-0111
Mailing Address - Country:US
Mailing Address - Phone:682-459-1224
Mailing Address - Fax:
Practice Address - Street 1:8500 HARWOOD RD APT 4114
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-0111
Practice Address - Country:US
Practice Address - Phone:682-459-1224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-02
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX660801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical