MEDICARE: MRS. LYNDA ELAINE STAHL LPC-I, NCC

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	101YP2500X	Professional Counselor	71366	TX

General Provider Information

NPI Number	:	1861803652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LYNDA ELAINE STAHL LPC-I, NCC

Provider Business Mailing Address
First Line	:	851 PUEBLO CIR
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130-2865
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	851 PUEBLO CIR
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130-2865
Country	:	US
Telephone Number	:	210-831-0490
Fax Number	:

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

Provider Enumeration Date	:	05/14/2014
Last Update Date	:	05/14/2014

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