MS. CRYSTAL LAVONNE EDWARDS (NPI# 1528449212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528449212 |
| Entity Type | Individual |
| Full Name | MS. CRYSTAL LAVONNE EDWARDS |
| Practice Address |
11010 W Madison St Avondale AZ 85323-3340 |
| Practice Telephone | 9073514227 |
| Mailing Telephone | 9073514227 |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 6661823 | AZ | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275154338 | Crystal Edwards | Massage Therapist | 2718 Medgar Evers Blvd, Jackson, MS 39213-7257 | 2020-04-30 |
| 1205335064 | Crystal Edwards | Counselor | 903 W Lincoln Ave, Charleston, IL 61920-2413 | 2018-02-07 |
| 1336304278 | Crystal Hayse Edwards | Massage Therapist | 1469 33rd Cir Se, Rio Rancho, NM 87124-1915 | 2008-07-21 |
| 1992795041 | Crystal Edwards | Physician Assistant | 4390 Fayetteville Rd, Lumberton, NC 28358-2677 | 2005-10-28 |
| 1336799907 | Crystal Edwards | Behavior Technician | 421 Fayetteville St Ste 1100, Raleigh, NC 27601-3000 | 2019-09-16 |
| 1356907422 | Crystal Sue Edwards | Social Worker | 133 E Swanson Ave, Wasilla, AK 99654 | 2019-05-14 |
| 1639633134 | Crystal J Edwards | Speech-Language Pathologist | 965 Fisher Rd, Many, LA 71449-3819 | 2019-01-29 |
| 1346763018 | Crystal Kay Edwards | Counselor | 117 W Medical Ct, Marion, NC 28752-5590 | 2017-07-25 |
| 1225400260 | Crystal Edwards | Occupational Therapist | 38 W 32nd St Ste 604, New York, NY 10001-3884 | 2015-10-29 |
| 1760742969 | Crystal L Edwards | Psychologist | 480 Alta Rd, San Diego, CA 92179-0001 | 2012-05-22 |
| Street Address |
11010 W MADISON ST |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85323-3340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932663994 | Bridgewater Avondale Operations, LLC | Assisted Living Facility | 295 E Van Buren Street, Avondale, AZ 85323 | 2019-01-24 |
| 1104309152 | Carlos Sifuentes | Physical Therapist | 10750 W Mcdowell Rd., Ste. B-210, Avondale, AZ 85323 | 2018-09-14 |
| 1225534688 | Dayna Sue Kaepp | Registered Nurse | 3300 N. Santa Fe Trail, Avondale, AZ 85323 | 2018-04-04 |
| 1407376700 | Amanda Lynn Radcliffe | Nurse Practitioner | 824 N. 99th Ave Ste 108, Avondale, AZ 85323 | 2017-06-27 |
| 1093253361 | Aquatic-n-writing Rehad | Home Health | 12355 West Cocopah Street, Avondale, AZ 85323 | 2017-02-07 |
| 1750838348 | Annette A Alvarez | Specialist/Technologist | 295 W Western Avenue, Avondale, AZ 85323 | 2016-09-01 |
| 1649726886 | Michelle R Dotson | Contractor | 12115 W Van Buren St Apt 1924, Avondale, AZ 85323 | 2016-08-28 |
| 1619370756 | Amanda Mann | Physical Therapy Assistant | 12804 West Hildalgo, Avondale, AZ 85323 | 2014-10-03 |
| 1326459306 | Ma Caubalejo | Physical Therapist | 350 East La Canada Blvd, Avondale, AZ 85323 | 2014-05-13 |
| 1093139545 | Mark Salvador | Physical Therapy Assistant | 11722 W. Mountain View Dr., Avondale, AZ 85323 | 2014-02-04 |
| Find all providers in zip 85323 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992165740 | Reaching Far Always, LLC | Community/Behavioral Health | 244 Layman St, Avondale, LA 70094-2524 | 2016-03-07 |
| 1366835498 | Rescare Arizona, Inc. | Community/Behavioral Health | 10555 W Indian School Rd, Suite D101, Avondale, AZ 85392-5652 | 2015-03-13 |
| 1821499104 | Black Family and Child Services Inc | Community/Behavioral Health | 11120 W Van Buren St Apt 2117, Avondale, AZ 85323-7304 | 2014-09-05 |
| 1649608407 | Avonbrook Consulting | Community/Behavioral Health | 32 Kodi Cir, Avondale, PA 19311-9307 | 2013-10-14 |
| 1205115631 | Community Bridges, Inc. | Community/Behavioral Health | 824 N 99th Ave, Suite 108, Avondale, AZ 85323-5315 | 2011-08-16 |
| 1720265747 | S.t.a.r. - Stand Together and Recover Centers, Inc. | Community/Behavioral Health | 605 N Central Ave, Avondale, AZ 85323-1910 | 2008-01-22 |
| 1982201299 | Prosper Az | Community/Behavioral Health | 10750 W Mcdowell Rd, Avondale, AZ 85392-5960 | 2020-10-08 |
| 1114258811 | Valle Del Sol, Inc. | Community/Behavioral Health | 10320 W Mcdowell Rd, Suite G-7024, Avondale, AZ 85392-4863 | 2010-01-19 |
| 1063674828 | Little Hands Therapy, LLC | Community/Behavioral Health | 10529 W Edgemont Dr, Avondale, AZ 85392-4654 | 2008-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700929 | True Wellness Support Services | Community/Behavioral Health | 8936 W Villa Rita Dr, Peoria, AZ 85382-3021 | 2020-11-05 |
| 1447851837 | Laws of Mindful Healing | Community/Behavioral Health | 3717 S Chaparral Rd, Apache Junction, AZ 85119-3608 | 2020-11-03 |
| 1790384030 | Great Xpectations LLC | Community/Behavioral Health | 4014 W Christy Dr, Phoenix, AZ 85029-3958 | 2020-10-19 |
| 1710586144 | Brighter Tomorrow's Family Services, LLC | Community/Behavioral Health | 644 N Country Club Dr Ste D, Mesa, AZ 85201-4983 | 2020-10-16 |
| 1386242295 | Mercy Cares LLC | Community/Behavioral Health | 2644 E Paradise Ln Apt D, Phoenix, AZ 85032-2945 | 2020-10-13 |
| 1124626080 | Beia's Families | Community/Behavioral Health | 3230 E Broadway Rd Ste C-235, Phoenix, AZ 85040-2873 | 2020-10-13 |
| 1558968099 | Seed Sower LLC | Community/Behavioral Health | 11526 W Bloomfield Rd, El Mirage, AZ 85335-3916 | 2020-10-07 |
| 1306443171 | Essential Health Services, LLC | Community/Behavioral Health | 2112 E Sanoque Ct, Gilbert, AZ 85298-6117 | 2020-10-05 |
| 1518564442 | Infinity Groups Homes LLC | Community/Behavioral Health | 3523 E Everett Dr, Phoenix, AZ 85032-5136 | 2020-10-05 |
| 1013524230 | Civara Behavioral Health LLC | Community/Behavioral Health | 4010 W Cactus Rd, Phoenix, AZ 85029-2905 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
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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.