Provider Demographics
NPI:1780373035
Name:CRYSTAL BIGLEY LPC PLLC
Entity type:Organization
Organization Name:CRYSTAL BIGLEY LPC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:L
Authorized Official - Last Name:BIGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:979-353-0005
Mailing Address - Street 1:3206 LONGMIRE DR STE A22
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-5858
Mailing Address - Country:US
Mailing Address - Phone:979-353-0005
Mailing Address - Fax:979-201-8900
Practice Address - Street 1:3206 LONGMIRE DR STE A22
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-5858
Practice Address - Country:US
Practice Address - Phone:979-353-0005
Practice Address - Fax:979-201-8900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-03
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)