Provider Demographics
NPI:1982055497
Name:ROOKS, STACEY L (LPC, LCDC)
Entity type:Individual
Prefix:
First Name:STACEY
Middle Name:L
Last Name:ROOKS
Suffix:
Gender:F
Credentials:LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4606 CENTERVIEW STE 266
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-1204
Mailing Address - Country:US
Mailing Address - Phone:726-201-5284
Mailing Address - Fax:719-309-0756
Practice Address - Street 1:4606 CENTERVIEW STE 266
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-1204
Practice Address - Country:US
Practice Address - Phone:726-201-5284
Practice Address - Fax:719-309-0756
Is Sole Proprietor?:No
Enumeration Date:2016-06-27
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX74130101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional