Provider Demographics
NPI:1477784502
Name:JAMES, CRYSTAL CLAYTEL (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:CRYSTAL
Middle Name:CLAYTEL
Last Name:JAMES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1903 BRIARCREEK BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77073-1568
Mailing Address - Country:US
Mailing Address - Phone:281-645-8282
Mailing Address - Fax:
Practice Address - Street 1:3008 BLODGETT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-5304
Practice Address - Country:US
Practice Address - Phone:281-501-0551
Practice Address - Fax:281-501-0638
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-06
Last Update Date:2014-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLMSW 392051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical