Provider Demographics
NPI:1578437281
Name:SIMS, CRYSTAL VANESSA (LPC)
Entity type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:VANESSA
Last Name:SIMS
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 1:3708 BLACKSMITH RD
Mailing Address - Street 2:
Mailing Address - City:AUBREY
Mailing Address - State:TX
Mailing Address - Zip Code:76227-4898
Mailing Address - Country:US
Mailing Address - Phone:972-693-5617
Mailing Address - Fax:
Practice Address - Street 1:3708 BLACKSMITH RD
Practice Address - Street 2:
Practice Address - City:AUBREY
Practice Address - State:TX
Practice Address - Zip Code:76227-4898
Practice Address - Country:US
Practice Address - Phone:972-693-5617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-03
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX94240101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional