KRYSTAL'S HOUSE, LLC (NPI# 1265675375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265675375 |
| Entity Type | Organization |
| Organization Name | KRYSTAL'S HOUSE, LLC |
| Practice Address |
208 N Greene St Snow Hill NC 28580-1410 |
| Practice Telephone | 2527472988 |
| Practice Fax Number | 2527474330 |
| Mailing Telephone | 2527472988 |
| Mailing Fax Number | 2527474330 |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |
| Authorized Official Name | CAROLYN HODGES BRYANT (CEO) |
| Authorized Official Telephone | 2527472988 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
208 N GREENE ST |
| City | SNOW HILL |
| State | NC |
| Zip Code | 28580-1410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568823698 | Gavin Mundy | Student in an Organized Health Care Education/Training Program | 7 Professional Drive, Snow Hill, NC 28580 | 2016-03-17 |
| 1689870222 | Edwards Community Support Services | Community Based Residential Treatment Facility, Mental Illness | 202 Hart Street, Snow Hill, NC 28580 | 2007-06-21 |
| 1669686887 | Cheryl Taylor Carraway | Dentist | 1117 Se Second St, Snow Hill, NC 28580 | 2007-05-09 |
| 1306882337 | Carmen Lucia Moreno | Pediatrics | 205 Martin Luther King Jr Pkway, Snow Hill, NC 28580 | 2006-06-20 |
| 1134195142 | Alexander Robertson | Pediatrics | 205 Martin Luther King Jr Parkway, Snow Hill, NC 28580 | 2006-02-28 |
| 1700888542 | Greene County Health Care Incorporated | Clinic/Center | 205 Martin Luther King Jr Pkwy, Snow Hill, NC 28580 | 2005-08-11 |
| 1972092054 | Heritage Family Health and Wellness Pa | Family Medicine | 1108b Kingold Blvd, Snow Hill, NC 28580 | 2018-05-04 |
| 1013127067 | Christine C Miller | Registered Nurse | 227 Kingold Blvd Ste B, Snow Hill, NC 28580-1303 | 2007-05-22 |
| 1407975816 | Greene County Dss | Case Management | 227 Kingold Blvd Ste A, Snow Hill, NC 28580-1303 | 2007-03-28 |
| 1205988276 | Port Human Services | Community/Behavioral Health | 227 Kingold Road, Suite C, Snow Hill, NC 28580-1303 | 2007-01-18 |
| Find all providers in zip 28580 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699129650 | Chelsea Steinsdoerfer | Counselor | 6040 Public Landing Rd, Snow Hill, MD 21863-2453 | 2016-04-15 |
| 1942670252 | Amy Sammons | Counselor | 424 W Market St, Snow Hill, MD 21863-1268 | 2015-09-29 |
| 1598047235 | Jessica Bridge Chittams | Counselor | 6040 Public Landing Rd, Snow Hill, MD 21863-2453 | 2011-09-19 |
| 1104147883 | Demetra Denise Copeland | Counselor | 6040 Public Landing Rd, Snow Hill, MD 21863-2453 | 2010-06-17 |
| 1982925863 | Sandra Jean Brown | Counselor | 6040 Public Landing Rd, Snow Hill, MD 21863-2453 | 2010-06-15 |
| 1689813826 | Katy L. Abell | Counselor | 6040 Public Landing Road, Worcester County Health Department, Snow Hill, MD 21863 | 2009-02-11 |
| 1710186622 | Billie Lynne Custer | Counselor | Worcester County Health Department, 6040 Public Landing Road, Snow Hill, MD 21863 | 2007-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710710 | Sandra G Inkrote | Counselor | 2599 Lower Moncure Rd, Sanford, NC 27330-9221 | 2020-11-08 |
| 1780285858 | Michelle Tennant | Counselor | 4140 Dudleys Grant Dr Apt C, Winterville, NC 28590-8342 | 2020-11-05 |
| 1043811243 | Ally Health Services LLC | Counselor | 3811 Tarheel Dr Ste 106, Raleigh, NC 27609-7548 | 2020-11-04 |
| 1972104008 | Kay Counseling, Pllc | Counselor | 9635 Southern Pine Blvd Ste 110, Charlotte, NC 28273-5545 | 2020-11-04 |
| 1558962977 | Kayla J Oxendine | Counselor | 86 Threehunts Drive, Pembroke, NC 28372 | 2020-11-03 |
| 1417558834 | Oak Path Counseling Group, Pllc | Counselor | 4285 Highway 24 27 E Ste D, Midland, NC 28107-8505 | 2020-11-03 |
| 1073114666 | Amanda Elaine Richardson | Counselor | 352 W Goldeneye Ln, Sneads Ferry, NC 28460-8096 | 2020-11-02 |
| 1588265144 | Blakeney Behavioral Health LLC | Counselor | 4401 E Independence Blvd Ste 208g, Charlotte, NC 28205-7485 | 2020-11-02 |
| 1689274292 | Transformation Counseling & Consulting | Counselor | 7906 Hogan Dr, Wake Forest, NC 27587-6659 | 2020-11-01 |
| 1679173280 | Rachel Lynn Willms | Counselor | 17 Green Valley Ln, Jackson Springs, NC 27281-9798 | 2020-11-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KRYSTAL'S HOUSE, LLC.
| 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.