DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KRYSTAL RICHARD LCSW

MEDICARE: KRYSTAL RICHARD LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker11495LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689039018
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRYSTAL RICHARD LCSW
Provider Business Mailing Address
First Line : 42 JANA DR
Second Line :
City : MONROE
State : LA
Zip : 71203-2778
Country : US
Telephone Number : 318-547-4208
Fax Number :
Provider Business Practice Location Address
First Line : 4635 SOUTHWEST FWY STE 635
Second Line :
City : HOUSTON
State : TX
Zip : 77027-7112
Country : US
Telephone Number : 713-850-0049
Fax Number : 713-627-7302
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2015
Last Update Date : 04/13/2026

Similar Medicare Providers

1538172812 — DR. PAUL DAVID WADLER PH.D.
Practice Location Address:
4635 SOUTHWEST FWY STE 635
HOUSTON, TX
77027-7112
Practice Phone: 713-850-0049
Practice Fax:
1265542831 — JANICE HALSTEAD LCSW
Practice Location Address:
4635 SOUTHWEST FWY STE 635
HOUSTON, TX
77027-7112
Practice Phone: 713-850-0049
Practice Fax: 731-967-8784
1235288325 — KRISTEN LEIGH BROADWAY LPC-S
Practice Location Address:
4635 SOUTHWEST FWY STE 635
HOUSTON, TX
77027-7112
Practice Phone: 713-850-0049
Practice Fax: 713-627-7302
1881831840 — JAY A, CHERRY
Practice Location Address:
4635 SOUTHWEST FWY STE 635
HOUSTON, TX
77027-7112
Practice Phone: 713-850-0049
Practice Fax:
1265673206 — MS. HELICA G GONZALEZ LPC
Practice Location Address:
4635 SOUTHWEST FWY STE 635
HOUSTON, TX
77027-7112
Practice Phone: 713-850-0049
Practice Fax: 713-627-7302
1720395833 — SHERENA K HOLMES LPC, NCC
Practice Location Address:
4635 SOUTHWEST FWY STE 635
HOUSTON, TX
77027-7112
Practice Phone: 713-850-0049
Practice Fax:

Directions to “ KRYSTAL RICHARD LCSW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.