Provider Demographics
NPI:1619837127
Name:JANES, CRYSTAL (LMSW)
Entity type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:
Last Name:JANES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9898 VAIL ETON DR
Mailing Address - Street 2:
Mailing Address - City:PILOT POINT
Mailing Address - State:TX
Mailing Address - Zip Code:76258-6752
Mailing Address - Country:US
Mailing Address - Phone:682-298-1949
Mailing Address - Fax:
Practice Address - Street 1:2800 SHORELINE DR STE 260
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-4400
Practice Address - Country:US
Practice Address - Phone:940-360-0106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-17
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1168991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical