EVELYN SUE CROCKER (NPI# 1639254212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639254212 |
| Entity Type | Individual |
| Full Name | EVELYN SUE CROCKER |
| Credential | L.P.C. L.M.F.T. |
| Practice Address |
2141 Office Park Dr Suite 5 San Angelo TX 76904-6836 |
| Mailing Address |
Po Box 60083 San Angelo TX 76906-0083 |
| Practice Telephone | 3259474946 |
| Practice Fax Number | 3259441398 |
| Mailing Telephone | 3259474946 |
| Mailing Fax Number | 3259441398 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YP2500X |
Counselor Specialization: Professional |
10137 | TX | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 1695 | TX | Behavioral Health & Social Service Providers |
| Street Address |
2141 OFFICE PARK DR SUITE 5 |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76904-6836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285646166 | Evelyn Shaw | Counselor | 2141 Office Park Dr, San Angelo, TX 76904-6836 | 2006-08-12 |
| 1457861171 | Tara Haidinger | Counselor | 2141 Office Park Dr, San Angelo, TX 76904-6836 | 2017-10-08 |
| 1245369909 | Jerre Alison Ader | Counselor | 2141 Office Park Dr, San Angelo, TX 76904-6836 | 2007-03-05 |
| 1255469037 | Ervilene F Kuhlmann | Social Worker | 2141 Office Park Dr, San Angelo, TX 76904-6836 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407342702 | Mark Wandal Duncan | Specialist/Technologist | 2237 South Jackson, San Angelo, TX 76904 | 2018-07-10 |
| 1700267259 | Sheila Patterson | Nurse Practitioner | 4251 Sunset Drive, San Angelo, TX 76904 | 2015-06-10 |
| 1346649316 | Mason William Mcclintock | Dentist | 2402 College Hills Blvd. Building 1, Building 1, San Angelo, TX 76904 | 2014-08-15 |
| 1265855712 | Lynn M. Thebo, Lcsw, Pllc | Social Worker | 3109 Southwest Blvd. Ste. B, San Angelo, TX 76904 | 2014-02-03 |
| 1487077459 | Lynn Marie Thebo | Social Worker | 3109 Southwest Blvd., Ste. B, San Angelo, TX 76904 | 2014-01-28 |
| 1558646521 | John Porter Parker Jr. | Pharmacist | 3705 Threewn Trail, San Angelo, TX 76904 | 2011-10-20 |
| 1568772036 | Medical Alliance Group of Texas, LLC | Durable Medical Equipment & Medical Supplies | 2525 S Johnson Ste A, San Angelo, TX 76904 | 2010-10-18 |
| 1578796710 | Jennifer L White | Physical Therapist | 2237 S. Jackson, San Angelo, TX 76904 | 2009-09-03 |
| 1548443203 | Kelly K. Sawyer, D.d.s., P.a. | Dentist | 3013 W. Loop 306, San Angelo, TX 76904 | 2007-12-17 |
| 1023224789 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 1706 Idaho Avenue, San Angelo, TX 76904 | 2007-05-16 |
| Find all providers in zip 76904 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981148 | Mary Ruth Montelongo | Counselor | 3115 Loop 306 Ste 103, San Angelo, TX 76904-5995 | 2019-09-12 |
| 1003378266 | Joan Patricia Deming-combs | Counselor | 3821 High Meadow Dr, San Angelo, TX 76904-5932 | 2019-04-04 |
| 1982185351 | Traci L Eichin | Counselor | 4721 Royal Oak Dr, San Angelo, TX 76904-4514 | 2018-08-23 |
| 1922585595 | Adrie Lindley Mccravy | Counselor | 3305 Christoval Rd, San Angelo, TX 76903-9132 | 2018-07-25 |
| 1154782415 | Jerrica Elayne Escobedo | Counselor | 424 South Oakes, San Angelo, TX 76903 | 2016-03-15 |
| 1669879029 | Heather Morales | Counselor | 1 N Milton St Ste 10, San Angelo, TX 76901-3261 | 2014-12-01 |
| 1992129803 | Wendi Jordan | Counselor | 3802 Parkwood Dr, San Angelo, TX 76904-5921 | 2014-02-12 |
| 1285057901 | Cayce D. Cowan | Counselor | 3109 Southwest Blvd Ste B, San Angelo, TX 76904-5742 | 2014-01-31 |
| 1700216355 | James Alfano | Counselor | 2571 Lindenwood Dr, San Angelo, TX 76904-6704 | 2013-11-18 |
| 1710313234 | Lacy Renee Slaughter | Counselor | 3192 Executive Dr, San Angelo, TX 76904-6802 | 2013-09-16 |
| Find all providers in SAN ANGELO | ||||
| City | SAN ANGELO |
| Zip Code | 76904 |
Please comment or provide details below to improve the information on EVELYN SUE CROCKER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.