PHILLIP E CROCCO


Address: 308 Laurie Ln, Angleton, TX 77515-5295
Phone: 9792151205

PHILLIP E CROCCO (NPI# 1154863934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154863934
Entity Type Individual
Full Name PHILLIP E CROCCO
Credential LPC-S
Practice Address 308 Laurie Ln
Angleton
TX 77515-5295
Practice Telephone 9792151205
Practice Fax Number 2103621824
Mailing Telephone 9792151205
Mailing Fax Number 2103621824
Enumeration Date 2016-11-10
Last Update Date 2016-11-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
62306 TX Behavioral Health & Social Service Providers

Office Location

Street Address 308 LAURIE LN
City ANGLETON
State TX
Zip Code 77515-5295

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1992254726 Stephen Ricks Jr. Nurse Practitioner 732 E. Henderson Rd, Angleton, TX 77515 2016-09-21
1568849867 Nancy Vanaphan Physician Assistant 146 E Hospital Dr Ste 208, Angleton, TX 77515 2015-05-06
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629582382 Christina Noriega Cortinas Counselor 1054 Crystal St, Angleton, TX 77515-4834 2017-11-16
1629257456 Barbara A. Hurst Counselor 2512 N Velasco St, Suite 300, Angleton, TX 77515-3179 2007-10-29
1093891210 Elizabeth Figueroa Sardelich Counselor 305 E Mulberry, Angleton, TX 77515-4733 2006-10-31
1003435637 Garza Counseling and Associates Counselor 120 E Plum St, Angleton, TX 77515-6012 2020-04-14
1760954820 Jacqueline Latulas Higgins Counselor 120 E Plum St, Angleton, TX 77515-6012 2018-12-28
1609216878 Derik Desiray Hutchinson Counselor 2512 N Velasco St, Ste 300, Angleton, TX 77515-3179 2013-07-02
1568773539 Gregory Lamon Dillon Counselor 2315 E Mulberry St, Angleton, TX 77515-3804 2010-06-24

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Competitor

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City ANGLETON
Zip Code 77515

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Dataset Information

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.

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