Provider Demographics
NPI:1942914312
Name:LEVINGSTON, CRYSTAL R (LPC)
Entity Type:Individual
Prefix:MRS
First Name:CRYSTAL
Middle Name:R
Last Name:LEVINGSTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14683 SNOWSHILL DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-7233
Mailing Address - Country:US
Mailing Address - Phone:214-793-8179
Mailing Address - Fax:
Practice Address - Street 1:14683 SNOWSHILL DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-7233
Practice Address - Country:US
Practice Address - Phone:214-793-8179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73905101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional