Athena Crockett, M.S., M.ED., LPC

NPI 1265785778 · on the registry since 2012

Practice

Address: 131 Degan Ave
Suite 102
Lewisville, TX 75057
Phone: (972) 571-0971
Organisation at this address: Costello Clinic, P.A.
Uptown Specialty Pharmacy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-10-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas