MEDICARE: STONE COUNSELING, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	63013	TX
2	101YM0800X	Mental Health Counselor	63013	TX
3	101YS0200X	School Counselor	63013	TX
4	106H00000X	Marriage & Family Therapist	63013	TX
5	101YP2500X	Professional Counselor	63013	TX

General Provider Information

NPI Number	:	1255575114
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STONE COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	9701 BRODIE LN
Second Line	:	SUITE 205
City	:	AUSTIN
State	:	TX
Zip	:	78748-6282
Country	:	US
Telephone Number	:	512-468-8198
Fax Number	:

Provider Business Practice Location Address
First Line	:	9701 BRODIE LN
Second Line	:	SUITE 205
City	:	AUSTIN
State	:	TX
Zip	:	78748-6282
Country	:	US
Telephone Number	:	512-468-8198
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	MRS. WENDY M STONE
Credential	:	M.A., LPC, LMFT
Telephone Number	:	512-468-8198

Provider Enumeration Date	:	04/22/2009
Last Update Date	:	12/30/2010

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Directions to “STONE COUNSELING, PLLC ” Practice Location

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