| Stacey Cartlidge Lpc Pllc | |
|
771 E Southlake Blvd Ste 215 Southlake TX 76092-7024 | |
| (817) 778-0678 | |
| Not Available |
| Full Name | Stacey Cartlidge Lpc Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 771 E Southlake Blvd Ste 215, Southlake, Texas |
| Authorized Official Name and Position | Stacey Cartlidge (OWNER/LPC) |
| Authorized Official Contact | 8177780678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Cartlidge Lpc Pllc 771 E Southlake Blvd Ste 215 Southlake TX 76092-7024 Ph: (817) 778-0678 | Stacey Cartlidge Lpc Pllc 771 E Southlake Blvd Ste 215 Southlake TX 76092-7024 Ph: (817) 778-0678 |
| NPI Number | 1942709209 |
|---|---|
| Provider Enumeration Date | 02/01/2018 |
| Last Update Date | 03/11/2022 |
| Certification Date | 03/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942709209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 67053 (Texas) | Primary |
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