MEDICARE: DIANA A CROWELL

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	101Y00000X	Counselor	96387	TX

General Provider Information

NPI Number	:	1891639415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANA A CROWELL

Provider Business Mailing Address
First Line	:	12517 VIEWPOINT LN
Second Line	:
City	:	BURLESON
State	:	TX
Zip	:	76028-7069
Country	:	US
Telephone Number	:	972-824-3768
Fax Number	:

Provider Business Practice Location Address
First Line	:	12517 VIEWPOINT LN
Second Line	:
City	:	BURLESON
State	:	TX
Zip	:	76028-7069
Country	:	US
Telephone Number	:	972-824-3768
Fax Number	:

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

Provider Enumeration Date	:	04/15/2026
Last Update Date	:	04/15/2026

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Directions to “ DIANA A CROWELL ” Practice Location

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