| Crystal Clear Therapy Llc | |
|
4101 Mcewen Rd Ste 346 Farmers Branch TX 75244-5276 | |
| (214) 531-0721 | |
| Not Available |
| Full Name | Crystal Clear Therapy Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4101 Mcewen Rd Ste 346, Farmers Branch, Texas |
| Authorized Official Name and Position | Diamond Walker (OWNER) |
| Authorized Official Contact | 2145310721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Clear Therapy Llc 4101 Mcewen Rd Ste 346 Farmers Branch TX 75244-5276 Ph: (214) 531-0721 | Crystal Clear Therapy Llc 4101 Mcewen Rd Ste 346 Farmers Branch TX 75244-5276 Ph: (214) 531-0721 |
| NPI Number | 1669294666 |
|---|---|
| Provider Enumeration Date | 10/30/2024 |
| Last Update Date | 10/30/2024 |
| Certification Date | 10/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669294666 | NPI | - | NPPES |
| 1578076881 | Medicaid | OK | |
| 1609607019 | Medicaid | TX | |
| 1316209646 | Medicaid | OK |
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