=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235093394
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STEADY PLACE THERAPY PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/12/2025
-----------------------------------------------------
Last Update Date | 12/12/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1422 MAIN ST STE 213
-----------------------------------------------------
City | SOUTHLAKE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76092-7623
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 817-369-5737
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1201 SUPERBLOOM AVE
-----------------------------------------------------
City | JUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76247-2240
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | ALLYSON STUCKLESS
-----------------------------------------------------
Credential | LPC
-----------------------------------------------------
Telephone | 817-915-4622
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------