MEDICARE: MRS. CRYSTAL ALICIA MERCER M.A., LPC, LMFT

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
1	106H00000X	Marriage & Family Therapist	201243	TX
2	101YP2500X	Professional Counselor	63743	TX

General Provider Information

NPI Number	:	1801101167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CRYSTAL ALICIA MERCER M.A., LPC, LMFT

Provider Business Mailing Address
First Line	:	229 S HAMPTON RD UNIT 2743
Second Line	:
City	:	DESOTO
State	:	TX
Zip	:	75123-0710
Country	:	US
Telephone Number	:	214-851-9510
Fax Number	:	214-851-9511

Provider Business Practice Location Address
First Line	:	229 S HAMPTON RD UNIT 2743
Second Line	:
City	:	DESOTO
State	:	TX
Zip	:	75123-0710
Country	:	US
Telephone Number	:	214-851-9510
Fax Number	:	214-851-9511

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2010
Last Update Date	:	01/27/2026

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