Organization
PEACE PSYCHOLOGY CENTER PLLC
Active
Organization
PEACE PSYCHOLOGY CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATE STARK PHD (MANAGER AND LICENSED PSYCHOLOGIST)
(817) 917-7348
Entity
Organization
Contact information
Practice address
1723 E SOUTHLAKE BLVD STE 200, SOUTHLAKE, TX 76092-6445
(817) 917-7348
Mailing address
1723 E SOUTHLAKE BLVD STE 200, SOUTHLAKE, TX 76092-6445
(682) 292-7012
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TS0200X
School Psychologist
—
—
Other
Enumeration date
03/12/2021
Last updated
09/03/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up