Individual
BRIAN STACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5750 BALCONES DR STE 117, AUSTIN, TX 78731-4267
(512) 529-4665
Mailing address
8846 TALINE CIR, AUSTIN, TX 78748-1656
(512) 529-4665
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
112216
TX
1041C0700X
Clinical Social Worker
Primary
112216
TX
Other
Enumeration date
05/21/2025
Last updated
06/08/2026
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