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General NPI Number Information
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NPI Number | 1306973813
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Entity Type | Individual
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Provider Name | FLOYD RUSSELL CRITES JR. M.S.
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Gender | Male
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 250 N MILL ST STE 6
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City | LEWISVILLE
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State | TX
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Zip | 75057-3979
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Country | US
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Telephone | 972-506-7111
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Fax |
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Provider Business Mailing Address
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Address Line | 106 N DENTON TAP RD STE 216-210
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City | COPPELL
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State | TX
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Zip | 75019-2138
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Country | US
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Telephone | 972-506-7111
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 05065
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 2499
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License Number State | TX
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