MRS. CRYSTAL CARTER (NPI# 1326678509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326678509 |
Entity Type | Individual |
Full Name | MRS. CRYSTAL CARTER |
Credential | MS, NCC, CFLE |
Practice Address |
6880 Cobblestone Blvd Ste 1 Southaven MS 38672-9313 |
Mailing Address |
1010 Ellis St Myrtle MS 38650-9616 |
Practice Telephone | 6622538324 |
Mailing Telephone | 6625079906 |
Enumeration Date | 2020-01-16 |
Last Update Date | 2020-01-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2180 Union Ave, Memphis, TN 381044205 | 9012762200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760019970 | Crystal Carter | Technician/Technologist | 35 Gymkhana Ln, Reno, NV 89508-9579 | 2020-03-26 |
1821386533 | Crystal Lee Carter | Physical Therapy Assistant | 2245 Smoky Rd, Huntingtown, MD 20639-8611 | 2011-07-14 |
1952695298 | Crystal Dee Carter | Registered Nurse | 2713 Cougar Ave, Cody, WY 82414-8400 | 2011-06-03 |
1780993220 | Crystal Eve Carter | Licensed Vocational Nurse | 3102 Brett Rd, Corinth, TX 76210-1604 | 2010-10-01 |
1407909070 | Crystal Noel Carter | Family Medicine | 1201 Alhambra Blvd., #330, Sacramento, CA 95816 | 2007-01-18 |
1841809530 | Crystal Yolanda Carter | Home Health | 2406 Bemiss Rd Ste C, Valdosta, GA 31602-1996 | 2020-07-28 |
1336783703 | Crystal Dawn Carter | Behavior Technician | 717 Green Valley Rd Ste 200231, Greensboro, NC 27408-2155 | 2019-10-29 |
1598243347 | Crystal Viola Carter | Counselor | 2053 Gause Blvd E Ste 150, Slidell, LA 70461-5451 | 2018-08-03 |
1093109704 | Crystal Carter | Internal Medicine | 8300 Hough Ave, Cleveland, OH 44103 | 2015-03-20 |
1306252994 | Crystal Giles Carter | Clinical Medical Laboratory | 300 Copperfield Blvd Ne, Concord, NC 28025-2428 | 2014-07-03 |
Street Address |
6880 COBBLESTONE BLVD STE 1 |
City | SOUTHAVEN |
State | MS |
Zip Code | 38672-9313 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992271522 | Erica P Holmes | Counselor | 6880 Cobblestone Blvd Ste 1, Southaven, MS 38672-9313 | 2018-10-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871100826 | Sarah Kathryn Pratt | Physical Therapist | 5271 Getwell Road, Suite A, Southaven, MS 38672 | 2020-09-24 |
1356713606 | Deadra Dennis | Behavioral Analyst | 2816 Calico Rock Cv, Southaven, MS 38672 | 2015-10-27 |
1568727352 | Patricia Leanne Lewis | Family Medicine | 5908 Getwell Rd, Southaven, MS 38672 | 2012-07-09 |
1417183922 | Mississippi Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2945 Goodman Road East, Southaven, MS 38672 | 2009-06-10 |
1568609998 | Susan Orsland | Physical Therapist | 4355 Genevieve Drive, Southaven, MS 38672 | 2009-01-07 |
1659516524 | Stacy L Sanders | Audiologist | 5740 Getwell Rd. Building 3 Unit B, Southaven, MS 38672 | 2008-12-08 |
1295927226 | Tracey F Petrides | Family Medicine | 5779 Getwell Road, Building D, Suite 3, Southaven, MS 38672 | 2007-08-14 |
1538288741 | Bruce A Denney | Dentist | 7125 Getwell Road, Suite 102, Southaven, MS 38672 | 2007-03-28 |
1154480150 | Kimberly Marie Metcalf | Social Worker | 7165-g Getwell Rd., Southaven, MS 38672 | 2006-12-06 |
1346318441 | Deborah Verucchi | Nurse Practitioner | 5740 Getwell Rd Ste B, Southaven, MS 38672 | 2006-11-30 |
Find all providers in zip 38672 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891310694 | Luke Garner | Counselor | 7467 Swinnea Rd, Southaven, MS 38671-6009 | 2020-06-08 |
1437634623 | Olivia Hall | Counselor | 5935 Airways Blvd Apt 1203, Southaven, MS 38671-1878 | 2018-10-03 |
1083122428 | The Bridge Youth & Family Counseling Services, Inc | Counselor | 5384 Savannah Pkwy, Southaven, MS 38672-7515 | 2018-01-19 |
1750754578 | Patricia M Wright Phd &associates, LLC | Counselor | 6928 Cobblestone Blvd, Suite 202, Southaven, MS 38672-8300 | 2015-11-02 |
1548699689 | Marilyn M Kerr, Lpc, LLC | Counselor | 230 Goodman Rd E Ste 3-204, Southaven, MS 38671-5152 | 2013-11-08 |
1629321815 | Jaqueline Tolleson Carter | Counselor | 6858 Swinnea Rd, 4 Rutland Pl, Southaven, MS 38671-9493 | 2012-10-25 |
1992086151 | Sandra Dietle | Counselor | 8830 Centre St Ste 5, Southaven, MS 38671-2609 | 2011-09-01 |
1215253620 | Anthony Jerome Wood | Counselor | 885 Ferncliff Cv, Suite 2, Southaven, MS 38671-2433 | 2010-04-09 |
1245420520 | Kelly Holloman Gardner | Counselor | 7165 Getwell Rd Bldg G, Southaven, MS 38672-9619 | 2007-08-01 |
1538648027 | Taji J Valentine | Counselor | 7160 Tchulahoma Rd Bldg B, Southaven, MS 38671-9266 | 2018-08-07 |
Find all providers in SOUTHAVEN |
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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.