Provider Demographics
NPI:1811596786
Name:CRIMMINGS, ALLISON K (MED, LPC-INTERN)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:K
Last Name:CRIMMINGS
Suffix:
Gender:F
Credentials:MED, LPC-INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1660 KELLER PKWY STE 101
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-3755
Mailing Address - Country:US
Mailing Address - Phone:817-431-8900
Mailing Address - Fax:
Practice Address - Street 1:1668 KELLER PKWY STE 200
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-3711
Practice Address - Country:US
Practice Address - Phone:817-431-8900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-21
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX84548101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX84548OtherTEXAS BEHAVIORAL HEALTH EXECUTIVE COUNCIL