Purple Crayon Counseling, Pllc

NPI #1003492570 in Tyler, Texas

Provider Information

NPI Number: 1003492570
Entity Type: Organization
Organization Name: Purple Crayon Counseling, Pllc
Primary Specialty: Social Worker - Clinical
Enumeration Date: Mar 23, 2021
Last Updated: Mar 23, 2021

Practice Location

Address: 401 E FRONT ST STE 227
City: Tyler
State: Texas
ZIP Code: 75702-8219
Phone: (903) 287-0646

Authorized Official

Name: MRS. NELIDA MEDINA, LCSW
Title: OWNER/CLINICIAN
Phone: (903) 287-0646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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