Crayton, Mercedes A

Crayton, Mercedes A is an individual health care provider with primary practice located at 9907 Sagebrush Ave , Odessa TX 79765-2274. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Crayton, Mercedes A can be contacted via phone (402) 417-4327.

Contact Information

Primary practice address
9907 Sagebrush Ave Odessa TX 79765-2274
Phone: (402) 417-4327
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 94592 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X A1909131 Arkansas

Profile Details

NPI number 1659921914
LBN Legal business name Crayton, Mercedes A
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2019
Last updated Apr 19th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659921914 NPPES
Arkansas MEDICAID 235843795

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