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NPI Code Detail

MEDICARE: BARBARA CROWLEY LPC

MEDICARE: BARBARA CROWLEY 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
1101YM0800XMental Health Counselor68950TX

General Provider Information

NPI Number : 1790237287
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA CROWLEY LPC
Provider Business Mailing Address
First Line : 17316 EARTHWIND DR
Second Line :
City : DALLAS
State : TX
Zip : 75248-1320
Country : US
Telephone Number : 972-885-9473
Fax Number :
Provider Business Practice Location Address
First Line : 1255 W 15TH ST STE 320
Second Line :
City : PLANO
State : TX
Zip : 75075-7275
Country : US
Telephone Number : 469-708-9021
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2016
Last Update Date : 03/11/2020

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