Provider Demographics
NPI:1962159046
Name:STONE DAVIS, MARSHELLA JO (LPC-S)
Entity type:Individual
Prefix:
First Name:MARSHELLA
Middle Name:JO
Last Name:STONE DAVIS
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5001 ASHLAND BELLE LN
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-7682
Mailing Address - Country:US
Mailing Address - Phone:832-724-9520
Mailing Address - Fax:
Practice Address - Street 1:5001 ASHLAND BELLE LN
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-7682
Practice Address - Country:US
Practice Address - Phone:832-724-9520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-08
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17294101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional