MISS CRYSTAL RAYNE FULTON LPC LCDC NPI 1548099419

NPI Information

  • NPI: 1548099419
  • Provider Name: MISS CRYSTAL RAYNE FULTON, LPC, LCDC
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 1224 SOUTHRIDGE
    SALADO, TX
    ZIP 76571
  • Phone: (972) 983-9577

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NPI Details

MISS Crystal Rayne Fulton, LPC, LCDC is a counselor in Salado, TX. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MISS Crystal Rayne Fulton, LPC, LCDC NPI is 1548099419. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1224 SOUTHRIDGE
SALADO, TX
ZIP 76571-801
Phone: (972) 983-9577

The enumeration date for this NPI number is 7/30/2024 and was last updated on 7/30/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)15716TEXASNo
2101Y00000XCounselor88978TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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