MRS. CRYSTAL GAYLE PASSMORE


Address: 233 12th St Ste 334, Columbus, GA 31901
Phone: 7062250322

MRS. CRYSTAL GAYLE PASSMORE (NPI# 1679932016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679932016
Entity Type Individual
Full Name MRS. CRYSTAL GAYLE PASSMORE
Credential MA, LPC
Practice Address 233 12th St Ste 334
Columbus
GA 31901
Mailing Address 233 12th St Ste 334
Columbus
GA 31901-2462
Practice Telephone 7062250322
Practice Fax Number 7062250321
Mailing Telephone 7062250322
Mailing Fax Number 7062250321
Enumeration Date 2016-02-13
Last Update Date 2018-07-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
14138 Hwy 195, Killeen, TX 765424850 2545191144 2545191155

Office Location

Street Address 233 12TH ST STE 334
City COLUMBUS
State GA
Zip Code 31901

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1447754197 Charles Chacha Maroa Babere Student in an Organized Health Care Education/Training Program Columbus Regional Health, Midtown Medical Center, 1900 10th Avenue, Suit 100, Columbus, GA 31901 2018-03-19
1861912867 Demetria Laprel Mcgruder Community Health Worker 1230 2nd Ave., Columbus, GA 31901 2017-06-21
1700256344 Kendra Ward Community Health Worker 1230 2nd Avenue, Columbus, GA 31901 2015-09-25
1437556701 Wendy Denise Thomas Adult Companion 1501 13th Street Suite F, Columbus, GA 31901 2014-12-02
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1710239330 Kati Michelle Turner Pharmacist 1800 10th Avenue, Columbus, GA 31901 2012-10-05
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609481233 Dupe Esther Oluwamuyide Counselor 1558 Sargas St, Columbus, OH 43240-6071 2020-09-10
1346851086 Jeannine Marie Lumpkin Counselor 5065 Pond View Dr, Columbus, GA 31907-1887 2020-08-16
1174141543 Emanuel G Werner Counselor 4033 Legend, Columbus, OH 43230-8501 2020-07-11
1285256552 Lauren Elizabeth Singleton Counselor 5632 Winvelly Dr, Columbus, GA 31909-4777 2020-05-10
1265053268 Bradley Unruh Counselor 1290 Old Henderson Rd, Columbus, OH 43220-3608 2020-04-30
1073153904 Overbrook Counseling LLC Counselor 1161 Bethel Rd Ofc 5, Columbus, OH 43220-2773 2020-01-08
1871137497 Tammy Dionne Person Counselor 6718 Bridge Way, Columbus, GA 31904-1370 2019-11-06
1740836659 Allen Huff Counselor 223 Mayfair Blvd Apt D, Columbus, OH 43213-2212 2019-08-15
1780236224 Emilie Rae Rogers Counselor 94 Northwoods Blvd Ste B2, Columbus, OH 43235-4721 2019-07-15
1649834441 Stacey R Young Counselor 1620 E Broad St Ste 103, Columbus, OH 43203-2012 2019-04-26
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Competitor

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City COLUMBUS
Zip Code 31901

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Dataset Information

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.

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