Terry Stanley, LPC

Individual provider Active NPI Mental Health Counselor · Waller, TX

NPI 1851269682 · NPPES record last updated Oct 24, 2025

Key facts

NPI
1851269682
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
76780 (TX)
Practice address
31322 Knebel Rd
Waller, TX 77484-9548
Phone
(979) 255-6991
NPI assigned
Oct 24, 2025
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
76780TXMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 76780 TX Yes

Addresses

Primary practice location

31322 Knebel Rd
Waller, TX 77484-9548

Mailing address

31322 Knebel Rd
Waller, TX 77484-9548
Phone (979) 255-6991

Other providers in Waller, TX

All providers in Waller, TX · Mental Health Counselor in Texas

Sources for this page

Verify at the official NPI Registry.