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1386351153 NPI number — CRYSTA DILLASHAW LMSW

NPI Number: 1386351153
Health Care Provider/Practitioner: CRYSTA DILLASHAW LMSW

Information about “1386351153” NPI (CRYSTA DILLASHAW LMSW) exists in 1386351153 in HTML format HTML  |  1386351153 in plain Text format TXT  |  1386351153 in PDF (Portable Document Format) PDF  |  1386351153 in an XML format XML  formats.

NPI Number : 1386351153 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1386351153",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DILLASHAW",
    "FirstName": "CRYSTA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2888 ROCKY CREEK LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DICKINSON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77539-4052",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "713-851-4320",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6021 FAIRMONT PKWY STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PASADENA",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77505-4511",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "281-769-2238",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/01/2022",
    "LastUpdateDate": "11/01/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "109020",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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