CRYSTAL LEIGH WALKER (NPI# 1609088574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609088574 |
| Entity Type | Individual |
| Full Name | CRYSTAL LEIGH WALKER |
| Credential | LPC-S, CADC |
| Practice Address |
2202 N Broadway St Poteau OK 74953-2000 |
| Mailing Address |
Po Box 653 Poteau OK 74953-0653 |
| Practice Telephone | 9186490230 |
| Mailing Telephone | 9186490018 |
| Mailing Fax Number | 9185642744 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
4280 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639695018 | Crystal Walker | Driver | 595 Antioch Rd, Warfield, VA 23889-2217 | 2017-08-17 |
| 1568919264 | Crystal Ann Walker | Social Worker | 200 S Broad St Ste 8a, New Orleans, LA 70119-6447 | 2016-09-10 |
| 1518343623 | Crystal Walker | Chore Provider | 4090 Homestead Dr Apt 14, Burton, MI 48529-1657 | 2015-07-31 |
| 1881039915 | Crystal A Walker | Licensed Practical Nurse | 584 Peak Ct, Reynoldsburg, OH 43068-9467 | 2013-05-02 |
| 1891029427 | Crystal L Walker | Physical Therapist | 40 Henrietta Blvd, Amsterdam, NY 12010-1111 | 2009-09-29 |
| 1619983681 | Crystal Rachelle Walker | Dentist | 6943 W 37th St N, Wichita, KS 67205-9302 | 2006-07-31 |
| 1558304964 | Crystal Walker | Social Worker | 3518 W 25th St, Cleveland, OH 44109-1951 | 2006-06-14 |
| 1821554148 | Crystal Walker | Registered Nurse | 2200 Childrens Way, Nashville, TN 37232-0005 | 2019-02-11 |
| 1285172429 | Crystal Walker | Counselor | 1351 Newtown Pike, Lexington, KY 40511-1275 | 2017-02-08 |
| 1295289049 | Crystal Walker | Nurse Practitioner | 880 Madison Ave, Memphis, TN 38103-3409 | 2016-08-10 |
| Street Address |
2202 N BROADWAY ST |
| City | POTEAU |
| State | OK |
| Zip Code | 74953-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285247213 | Diana Devries | Case Manager/Care Coordinator | 2202 N Broadway St, Poteau, OK 74953-2000 | 2020-08-28 |
| 1457991770 | New Hope Counseling and Guidance Center LLC | Counselor | 2202 N Broadway St, Poteau, OK 74953-2000 | 2020-01-14 |
| 1336502152 | Mallary Flurry | Case Manager/Care Coordinator | 2202 N Broadway St, Poteau, OK 74953-2000 | 2016-03-30 |
| 1437482692 | Gregory Medical Clinic LLC | Family Medicine | 2202 N Broadway St, Poteau, OK 74953-2000 | 2009-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235644550 | Kim Lynn Mcconnell | Case Manager/Care Coordinator | 907 Grace St., Poteau, OK 74953 | 2017-12-08 |
| 1356889745 | Brenda Stacy | Prevention Professional | 507 Drwey, Potesu, OK 74953 | 2017-02-06 |
| 1639621451 | Sabrina Danielle Minor | Case Manager/Care Coordinator | 15715 Greentop Road, Poteau, OK 74953 | 2016-10-27 |
| 1902352545 | Daniel Jesse Bruesch | Counselor | 600 Oklahoma Ave., Poteau, OK 74953 | 2016-09-01 |
| 1578912465 | Jo Ann Walden | Counselor | 507 Dewey Avenue, Poteau, OK 74953 | 2016-06-10 |
| 1154708477 | Kendal Repass | Specialist/Technologist | 17100 Nail Creek, Poteau, OK 74953 | 2015-05-06 |
| 1669891768 | Jennifer Branscum | Case Manager/Care Coordinator | 22681 Valley View Rd, Poteau, OK 74953 | 2014-04-16 |
| 1437582145 | Kim Loggains | Counselor | 2104 A-n. Broadway, Poteau, OK 74953 | 2013-08-16 |
| 1457783573 | Derek Morris | Counselor | 3111b N. Broadway St., Box 34, Poteau, OK 74953 | 2013-07-31 |
| 1568743177 | Carol Ann Oliver | Counselor | 34183 Country Club Lane, Poteau, OK 74953 | 2011-09-09 |
| Find all providers in zip 74953 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902352545 | Daniel Jesse Bruesch | Counselor | 600 Oklahoma Ave., Poteau, OK 74953 | 2016-09-01 |
| 1578912465 | Jo Ann Walden | Counselor | 507 Dewey Avenue, Poteau, OK 74953 | 2016-06-10 |
| 1689094898 | Sheila Brown | Counselor | 29141 Old Tarby Rd, Poteau, OK 74953-7181 | 2014-04-27 |
| 1437575958 | Stephanie Wiles | Counselor | 106 Woodbine Ave, Poteau, OK 74953-2262 | 2014-03-07 |
| 1356688675 | Kimberly Dawn Brown | Counselor | 510 North Broadway Ave, Poteau, OK 74953-0711 | 2013-01-07 |
| 1447506324 | Jessie Nicole Roberts | Counselor | 501 S Church St, Poteau, OK 74953-3809 | 2012-07-30 |
| 1740594324 | Brandy Jill Ward | Counselor | 403 N Earl St, Poteau, OK 74953-3514 | 2010-08-05 |
| 1538488499 | Kathy M Carter | Counselor | 213 Dewey Ave, Poteau, OK 74953-4203 | 2010-05-18 |
| 1851618466 | Randy G Wildman | Counselor | 205 Royal Oak Dr, Poteau, OK 74953-2936 | 2010-04-23 |
| 1538499272 | Debbie Sue Gay | Counselor | 3111 B N Broadway, Poteau, OK 74953 | 2009-12-31 |
| Find all providers in POTEAU | ||||
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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.