Purple Crayon Counseling, Pllc | |
401 E Front St Ste 227 Tyler TX 75702-8219 | |
(903) 287-0646 | |
(903) 560-9500 |
Full Name | Purple Crayon Counseling, Pllc |
---|---|
Speciality | Social Worker - Clinical |
Location | 401 E Front St Ste 227, Tyler, Texas |
Authorized Official Name and Position | Nelida Medina (OWNER/CLINICIAN) |
Authorized Official Contact | 9032870646 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Purple Crayon Counseling, Pllc 10845 County Road 429 Tyler TX 75704-3813 Ph: (903) 714-4991 | Purple Crayon Counseling, Pllc 401 E Front St Ste 227 Tyler TX 75702-8219 Ph: (903) 287-0646 |
NPI Number | 1003492570 |
---|---|
Provider Enumeration Date | 03/23/2021 |
Last Update Date | 03/23/2021 |
Certification Date | 03/23/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003492570 | NPI | - | NPPES |
405322501 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
News Archive
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