Crystal Clear Behavioral Health Services Inc
LBN: Crystal Clear Behavioral Health Services Inc
Crystal Clear Behavioral Health Services Inc is an health care organization with primary practice located at 4304A E Central Texas Expy Ste A , Killeen TX 76543-7308. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty.
Crystal Clear Behavioral Health Services Inc can be contacted via phone (708) 275-0937, or through Fields, Tamara Patrice via phone (708) 275-0937.
Contact Information
Primary practice address
4304A E Central Texas Expy Ste A
Killeen TX 76543-7308
Phone: (708) 275-0937
Fax: (708) 310-6057
Website:
Authorized official contact:
Name: Fields, Tamara Patrice Licensed Clinical Social Worker (LCSW)
Phone: (708) 275-0937
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 58569 | Texas |
Profile Details
| NPI number | 1356884001 |
|---|---|
| LBN Legal business name | Crystal Clear Behavioral Health Services Inc |
| DBA Doing business as | |
| Authorized official | Fields, Tamara Patrice Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 29th, 2016 |
| Last updated | Sep 17th, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356884001 | NPPES |
| Texas | MEDICAID | 342420202 | |
| Texas | MEDICAID | 342420203 |
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