Provider Demographics
NPI:1902553811
Name:SEAY, STACEY (LPC LSOTP LCDC NCC)
Entity Type:Individual
Prefix:
First Name:STACEY
Middle Name:
Last Name:SEAY
Suffix:
Gender:F
Credentials:LPC LSOTP LCDC NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7802 PECAN DR
Mailing Address - Street 2:
Mailing Address - City:DAMON
Mailing Address - State:TX
Mailing Address - Zip Code:77430-8314
Mailing Address - Country:US
Mailing Address - Phone:713-294-7834
Mailing Address - Fax:
Practice Address - Street 1:7802 PECAN DR
Practice Address - Street 2:
Practice Address - City:DAMON
Practice Address - State:TX
Practice Address - Zip Code:77430-8314
Practice Address - Country:US
Practice Address - Phone:713-294-7834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-10
Last Update Date:2022-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX74312101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional