Stover Counseling, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

73618 Issued in TX

Legal business name

STOVER COUNSELING, PLLC

Practice address

1618 Williams Dr
Suite 3
Georgetown, TX 78628-3678

Phone

(512) 964-4663

NPI assigned

Apr 11, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mallory Rose Stover, LPC

Title

President

Phone

(512) 964-4663

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1790218337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 325",
            "city": "COUPLAND",
            "state": "TX",
            "postal_code": "786150325",
            "telephone_number": "512-964-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 WILLIAMS DR",
            "address_2": "SUITE 3",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283678",
            "telephone_number": "512-964-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOVER COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "STOVER",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-964-4663",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "73618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.