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DR. STACY PEREZ WATERMAN LPC, LCDC
NPI 1467977108
Counselor - Mental Health in San Antonio, TX

Active since August 03, 2017
4301 BROADWAY, AD 438, SAN ANTONIO, TX 78209(210) 827-3738 Get Directions Write a Review

NPPES record last updated: August 3, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Stacy Perez Waterman Lpc, Lcdc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STACY PEREZ WATERMAN LPC, LCDC (NPI 1467977108) is an individual mental health provider in San Antonio, Texas, licensed in Texas (71128) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1467977108
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. STACY PEREZ WATERMANCredential: LPC, LCDC
Location Address4301 BROADWAY, AD 438San Antonio, TX 78209
Mailing Address7567 Corian Park DrSan Antonio, TX 78249-3627 · (210) 827-3738
Phone(210) 827-3738
Sole ProprietorNo
Enumeration DateAugust 3, 2017
✔ NPI 1467977108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in TX · 71128
4301 BROADWAY, San Antonio, TX 78209
Open in Google Maps ↗

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAOLA BENASSINI
Nutritionist
4301 BROADWAY
SAN ANTONIO, TX 78209
Bexar County (210) 501-7116
AISHA NAZARETH CAMET HERNANDEZ
Student in an Organized Health Care Education/Training Program
4301 BROADWAY
SAN ANTONIO, TX 78209
Bexar County (210) 829-6000
MR. TRI ANH TO
Student in an Organized Health Care Education/Training Program
4301 BROADWAY
SAN ANTONIO, TX 78209
Bexar County (210) 829-6000
JACQUELINE J HUA DPT
Physical Therapist
4301 BROADWAY
SAN ANTONIO, TX 78209
Bexar County (210) 283-6446
RENEE ANNE BELLANGER PHARM.D.
Pharmacist (Nutrition Support)
4301 BROADWAY, CPO 99
SAN ANTONIO, TX 78209
Bexar County (210) 883-1088
CHAOREN KOH MD
Student in an Organized Health Care Education/Training Program
4301 BROADWAY
SAN ANTONIO, TX 78209
Bexar County (210) 283-6998
EDGARDO RIVERA LOPEZ PT, DPT, CSCS
Physical Therapist (Sports)
4301 BROADWAY
SAN ANTONIO, TX 78209
Bexar County (210) 829-6017
SARA MARIE BERRETT PT, DPT
Physical Therapist
4301 BROADWAY
SAN ANTONIO, TX 78209
Bexar County (979) 422-8874

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Waterman's NPI number?

The NPI number for Stacy Waterman is 1467977108. It was assigned to this individual provider in the NPPES registry on August 3, 2017.

Where is Stacy Waterman located?

Stacy Waterman practices at 4301 Broadway Ad 438, San Antonio, TX 78209. The listed phone number is (210) 827-3738.

What is Stacy Waterman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Stacy Waterman was last updated on August 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.