Stacy Lange Canfield, MA, LPC
Individual provider Active NPI Mental Health Counselor · Belton, TX
NPI 1689484339 · NPPES record last updated Jan 13, 2025
Key facts
- NPI
- 1689484339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 83155 (TX)
- Practice address
- 204 N East St Ste B
Belton, TX 76513-3133 - Phone
- (254) 346-5617
- NPI assigned
- Jan 13, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83155 | TX | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 83155 | TX | Yes |
Addresses
Primary practice location
204 N East St Ste B
Belton, TX 76513-3133
Mailing address
204 N East St Ste B
Belton, TX 76513-3133
Phone (254) 346-5617
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All providers in Belton, TX · Mental Health Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.