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General NPI Number Information
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NPI Number | 1083522536
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Entity Type | Organization
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Legal Business Name | CROSSROADS COUNSELING OF EAST TEXAS
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 305 W RUSK ST
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City | TYLER
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State | TX
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Zip | 75701-1514
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Country | US
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Telephone | 903-224-5686
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Fax |
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Provider Business Mailing Address
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Address Line | 5380 OLD BULLARD RD STE 600157
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City | TYLER
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State | TX
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Zip | 75703-3607
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Country | US
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Telephone | 903-224-5686
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BETSY GOMEZ-LYBRAND
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Credential | LPC-S
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Telephone | 903-721-5061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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