Healthcare Provider Details

I. General information

NPI: 1225629702
Provider Name (Legal Business Name): KS STANLEY, PSYD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2021
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 NORFOLK ST STE 140
HOUSTON TX
77098-4044
US

IV. Provider business mailing address

1225 NORTH LOOP W STE 935 PMB 138
HOUSTON TX
77008-1763
US

V. Phone/Fax

Practice location:
  • Phone: 346-232-5060
  • Fax:
Mailing address:
  • Phone: 346-232-5060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. KS STANLEY
Title or Position: LICENSED PSYCHOLOGIST AND OWNER
Credential: PSYD
Phone: 346-232-5060