MEDICARE: TIMOTHY D STANLEY MSLPE

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	101YM0800X	Mental Health Counselor	14579	TX
2	101YM0800X	Mental Health Counselor	961E	AR

General Provider Information

NPI Number	:	1538113402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY D STANLEY MSLPE

Provider Business Mailing Address
First Line	:	1109 COLLEGE DR
Second Line	:
City	:	TEXARKANA
State	:	TX
Zip	:	75503-3527
Country	:	US
Telephone Number	:	903-243-9552
Fax Number	:

Provider Business Practice Location Address
First Line	:	1109 COLLEGE DR
Second Line	:
City	:	TEXARKANA
State	:	TX
Zip	:	75503-3527
Country	:	US
Telephone Number	:	903-243-9552
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	02/07/2024

Similar Medicare Providers

1467319509 — ELISHA LAMBERT COUNSELING
Practice Location Address:

1109 COLLEGE DR
TEXARKANA, TX
75503-3527

Practice Phone: 682-253-5450
Practice Fax:

1063772515 — MS. FELICIA PHAY HUDDLESTON FNP
Practice Location Address:

1109 COLLEGE DR
TEXARKANA, TX
75503-3527

Practice Phone: 903-225-9123
Practice Fax:

1851179535 — MINDFUL BLESSINGS MENTAL HEALTH
Practice Location Address:

1109 COLLEGE DR
TEXARKANA, TX
75503-3527

Practice Phone: 903-225-9123
Practice Fax:

1891890786 — MS. STACY L LEONARD MD
Practice Location Address:

5002 COWHORN CREEK RD
TEXARKANA, TX
75503-9766

Practice Phone: 903-614-3000
Practice Fax: 903-614-3525

1285908335 — B PEDIATRICS PLLC
Practice Location Address:

4503 TEXAS BLVD
TEXARKANA, TX
75503-3026

Practice Phone: 903-792-4003
Practice Fax: 903-794-6743

1760470439 — THOMAS LAURENCE WILSON MD
Practice Location Address:

2602 SAINT MICHAEL DR , SUITE 201A
TEXARKANA, TX
75503-2387

Practice Phone: 903-792-1216
Practice Fax: 903-614-5299

Directions to “ TIMOTHY D STANLEY MSLPE” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.