CRYSTAL CLEAR THERAPY PLLC NPI 1669294666

NPI Information

  • NPI: 1669294666
  • Provider Name: CRYSTAL CLEAR THERAPY PLLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 4101 MCEWEN RD STE 346
    DALLAS, TX
    ZIP 75244
  • Phone: (214) 336-4417

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NPI Details

CRYSTAL CLEAR THERAPY PLLC is a professional counselor in Dallas, TX. CRYSTAL CLEAR THERAPY PLLC NPI is 1669294666. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4101 MCEWEN RD STE 346
DALLAS, TX
ZIP 75244-276
Phone: (214) 336-4417
Fax: (214) 377-6247

The provider's authorized official is Diamond Walker .
The authorized official title is Owner and has the following contact phone number (214) 336-4417.

The enumeration date for this NPI number is 10/30/2024 and was last updated on 1/22/2026.

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)No
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3101YP1600XCounselorPastoralNo
4101YM0800XCounselorMental HealthNo
5101Y00000XCounselorNo
6101YP2500XCounselorProfessionalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11609607019MEDICAIDTEXAS
21578076881MEDICAIDOKLAHOMA
31316209646MEDICAIDOKLAHOMA

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: 11/21/2025

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