Provider Demographics
NPI:1407660665
Name:SAID, CHRYSTAL AUTUMN (LPC)
Entity type:Individual
Prefix:
First Name:CHRYSTAL
Middle Name:AUTUMN
Last Name:SAID
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15223 CEDAR SCURRY CIR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-5013
Mailing Address - Country:US
Mailing Address - Phone:281-387-8325
Mailing Address - Fax:
Practice Address - Street 1:7100 REGENCY SQUARE BLVD STE 290
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3297
Practice Address - Country:US
Practice Address - Phone:832-324-9111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-06
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88104101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health