Provider Demographics
NPI:1114247806
Name:CRAFTON PLACE ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:CRAFTON PLACE ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:512-470-5901
Mailing Address - Street 1:6108 CRAFTON PL
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-5205
Mailing Address - Country:US
Mailing Address - Phone:512-369-3262
Mailing Address - Fax:
Practice Address - Street 1:187 ELMHURST
Practice Address - Street 2:SUITE A
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-6115
Practice Address - Country:US
Practice Address - Phone:512-470-5901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-04
Last Update Date:2010-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17182101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty