Healthcare Provider Details

I. General information

NPI: 1497447585
Provider Name (Legal Business Name): CRYSHANNA ROCKWELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CRYSHANNA SCHELLENGER

II. Dates (important events)

Enumeration Date: 05/25/2023
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 SPINKS RD STE 202
FLOWER MOUND TX
75022-4451
US

IV. Provider business mailing address

2201 SPINKS RD STE 202
FLOWER MOUND TX
75022-4451
US

V. Phone/Fax

Practice location:
  • Phone: 940-716-3675
  • Fax:
Mailing address:
  • Phone: 940-716-3675
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number84516
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: