MEDICARE: STONE & SAGE 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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1568395846
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STONE & SAGE COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	719 PHILADELPHIA ST
Second Line	:
City	:	FATE
State	:	TX
Zip	:	75189-4071
Country	:	US
Telephone Number	:	713-829-1027
Fax Number	:

Provider Business Practice Location Address
First Line	:	719 PHILADELPHIA ST
Second Line	:
City	:	FATE
State	:	TX
Zip	:	75189-4071
Country	:	US
Telephone Number	:	713-829-1027
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER/OWNER
Name	:	ASHLEY ZAMBOANGA
Credential	:	M.ED., LPC ASSOCIATE
Telephone Number	:	713-829-1027

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/05/2026

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