| Crystal Dawn Fonville, LMFT | |
|
7045 Highway 75 S, Huntsville, TX 77340-7281 | |
| (936) 291-5800 | |
| Not Available |
| Full Name | Crystal Dawn Fonville |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 7045 Highway 75 S, Huntsville, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073397162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 203893 (Texas) | Primary |
| Entity Name | Tri-county Behavioral Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851333074 PECOS PAC ID: 5991754772 Enrollment ID: O20050119000528 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138 |
| Entity Name | Serenity House Counseling, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568065142 PECOS PAC ID: 3173973377 Enrollment ID: O20240102000026 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Dawn Fonville, LMFT 7045 Highway 75 S, Huntsville, TX 77340-7281 Ph: () - | Crystal Dawn Fonville, LMFT 7045 Highway 75 S, Huntsville, TX 77340-7281 Ph: (936) 291-5800 |
Sara D Bruhn, LCSW LPC LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2804 Lake Rd Ste 1, Huntsville, TX 77340 Phone: 936-291-7928 Fax: 936-294-0164 | |
Susan Elizabeth Henderson, PH.D. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2804 Lake Rd Ste 2, Huntsville, TX 77340 Phone: 936-344-1039 | |
Mrs. Diane Elizabeth Roman, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 901 Normal Park Dr, Ste. 201, Huntsville, TX 77320 Phone: 936-355-4585 Fax: 916-421-6037 | |
Jennifer Lynn Henson, LPC/LMFTA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1325 Windsor St, Huntsville, TX 77340 Phone: 936-291-7928 | |
Asha Alexander, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 31 Mossback St, Huntsville, TX 77320 Phone: 936-355-8013 |