Provider Demographics
NPI:1073656179
Name:ROYAL, CRYSTAL CECILIA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CRYSTAL
Middle Name:CECILIA
Last Name:ROYAL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36065 SANTA FE AVE.
Mailing Address - Street 2:3RD FLOOR CHILD AND FAMILY BEHAVIORAL HEALTH SYSTEM
Mailing Address - City:FORT HOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76544-5095
Mailing Address - Country:US
Mailing Address - Phone:504-460-9400
Mailing Address - Fax:
Practice Address - Street 1:36065 SANTA FE AVE.
Practice Address - Street 2:3RD FLOOR CHILD AND FAMILY BEHAVIORAL HEALTH SYSTEM
Practice Address - City:FORT HOOD
Practice Address - State:TX
Practice Address - Zip Code:76544-5095
Practice Address - Country:US
Practice Address - Phone:504-460-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA46971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical