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: KRISSIE LAIN GLASS LPC

MEDICARE: KRISSIE LAIN GLASS LPC
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
1101YP2500XProfessional Counselor67695TX

General Provider Information

NPI Number : 1750845442
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISSIE LAIN GLASS LPC
Provider Business Mailing Address
First Line : 9536 LONG PINE CT
Second Line :
City : FORT WORTH
State : TX
Zip : 76179-4316
Country : US
Telephone Number : 806-683-7249
Fax Number :
Provider Business Practice Location Address
First Line : 17121 HIGHWAY 69 S
Second Line :
City : TYLER
State : TX
Zip : 75703-8091
Country : US
Telephone Number : 806-683-7249
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2019
Last Update Date : 05/12/2026

Similar Medicare Providers

1497689525 — DAVID DAVAULT
Practice Location Address:
17121 HIGHWAY 69 S
TYLER, TX
75703-8091
Practice Phone: 903-316-5711
Practice Fax:
1578072971 — JULIE KATHRYN DAVID LPC
Practice Location Address:
17121 US HIGHWAY 69 S
TYLER, TX
75703-8091
Practice Phone: 903-839-5007
Practice Fax:
1659887115 — TAPESTRY COUNSELING OF EAST TEXAS
Practice Location Address:
17121 HIGHWAY 69 S
TYLER, TX
75703-8091
Practice Phone: 903-316-5711
Practice Fax:
1659933471 — HEATHER LEIGH HALL LPC
Practice Location Address:
17121 HIGHWAY 69 S
TYLER, TX
75703-8091
Practice Phone: 903-316-5711
Practice Fax:
1669088134 — LAUREN PEACOCK MA, LPC
Practice Location Address:
17121 HIGHWAY 69 S
TYLER, TX
75703-8091
Practice Phone: 903-714-7205
Practice Fax:
1235725763 — MRS. REBECCA SCHALL LPC
Practice Location Address:
17121 HIGHWAY 69 S
TYLER, TX
75703-8091
Practice Phone: 903-702-5139
Practice Fax:

Directions to “ KRISSIE LAIN GLASS LPC” 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.