CRYSTAL FYALA (NPI# 1710163910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710163910 |
| Entity Type | Individual |
| Full Name | CRYSTAL FYALA |
| Practice Address |
3125 Poplarwood Ct Ste 203 Raleigh NC 27604-6445 |
| Practice Telephone | 9197876131 |
| Practice Fax Number | 9195712932 |
| Mailing Telephone | 9197876131 |
| Mailing Fax Number | 9195712932 |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2008-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
3125 POPLARWOOD CT STE 203 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27604-6445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639352677 | Patricia Fulford | Counselor | 3125 Poplarwood Ct Ste 203, Raleigh, NC 27604-6445 | 2007-12-13 |
| 1124630561 | Justin Ravizee | Social Worker | 3125 Poplarwood Ct Ste 203, Raleigh, NC 27604-6445 | 2020-08-18 |
| 1386261774 | Charles Loflin Sapp | Counselor | 3125 Poplarwood Ct Ste 203, Raleigh, NC 27604-6445 | 2020-07-01 |
| 1861048449 | Meagan Ruth Maclellan | Counselor | 3125 Poplarwood Ct Ste 203, Raleigh, NC 27604-6445 | 2019-08-10 |
| 1962971770 | Lora Pilcher | Counselor | 3125 Poplarwood Ct Ste 203, Raleigh, NC 27604-6445 | 2018-11-21 |
| 1780151746 | Olivia Winstead | Social Worker | 3125 Poplarwood Ct Ste 203, Raleigh, NC 27604-6445 | 2018-10-29 |
| 1841770682 | Crystal Scarborough | Counselor | 3125 Poplarwood Ct Ste 203, Raleigh, NC 27604 | 2018-08-21 |
| 1861907974 | Shalandra Hollins | Marriage & Family Therapist | 3125 Poplarwood Ct Ste 203, Raleigh, NC 27604-6445 | 2017-12-12 |
| 1093196834 | Erica Dahms | Social Worker | 3125 Poplarwood Ct Ste 203, Raleigh, NC 27604-6445 | 2015-06-17 |
| 1013398858 | Catherine Zeidan | Counselor | 3125 Poplarwood Ct Ste 203, Raleigh, NC 27604-6445 | 2015-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326669748 | Monet Josey | Counselor | 3020 Highwood Blvd, Raleigh, NC 27604 | 2020-04-27 |
| 1154979094 | Ride4health Transportation Inc | Non-emergency Medical Transport (VAN) | 3200 Capital Blvd, Raleigh, NC 27604 | 2019-09-03 |
| 1851890750 | Sasilana Letreva Burden | In Home Supportive Care | 4000 Northstone Drive Apt 307, Raleigh, NC 27604 | 2018-02-06 |
| 1093226383 | The Eye Institute Od, Pa | Optometrist | 111 Seaboard Ave Ste 110, Raleigh, NC 27604 | 2017-10-13 |
| 1902326044 | Ngozi Ifeoma Osiebo | Nurse Practitioner | 4608 Wedgewood Drive, Raleigh, NC 27604 | 2017-06-20 |
| 1144765520 | Rose Hill Family Care Home | Custodial Care Facility | 1705 Beacon Bluff Street, Raleigh, NC 27604 | 2016-12-21 |
| 1437609948 | Mercy Manor At Saybrooke, Inc | Custodial Care Facility | 6320 Saybrooke Drive, Raleigh, NC 27604 | 2016-10-07 |
| 1972969913 | Shivas Gilotra | Nurse Practitioner | 805 Oberlin Road, Ste 200, Raleigh, NC 27604 | 2016-01-06 |
| 1609247915 | Charisse Justine Young | Social Worker | 2609 Atlantic Avenue, Suite 111c, Raleigh, NC 27604 | 2015-10-13 |
| 1356748933 | John T Hart | Counselor | 1115-113 Cove Bridge Road, Raleigh, NC 27604 | 2014-11-26 |
| Find all providers in zip 27604 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436730 | Joy Elise Chiles | Counselor | 8505 Mount Valley Ln, Raleigh, NC 27613-6931 | 2020-10-26 |
| 1669084406 | Battle Mental Health, Pllc | Counselor | 8311 Brier Creek Pkwy Ste 105-167, Raleigh, NC 27617-7328 | 2020-08-22 |
| 1093327561 | Danielle Curley | Counselor | 11030 Cayden Trl Apt 3h, Raleigh, NC 27614-7393 | 2020-08-17 |
| 1831716703 | Bright Chukwemeka Igwe | Counselor | 4909 Waters Edge Drive Suite 203, 4909 Waters Edge Dr. Suite 203, Raleigh, NC 27606 | 2020-06-26 |
| 1578109443 | Melissa Lancaster Mccurry | Counselor | 12201 Lockhart Ln, Raleigh, NC 27614-9406 | 2019-11-26 |
| 1215582432 | Emily Trapp | Counselor | 723 W Johnson St Ste 100, Raleigh, NC 27603-1244 | 2019-08-05 |
| 1841858875 | Barry Ray Wallace Jr. | Counselor | 2101 Garner Rd #107, Raleigh, NC 27610-3790 | 2019-06-04 |
| 1689130445 | Adewumi Gabriel Ojo | Counselor | 3204 Cotton Grove Run, Raleigh, NC 27610-6264 | 2019-02-18 |
| 1306310321 | Nakima Mechelle Morrison | Counselor | 5213 Chasteal Trl, Raleigh, NC 27610-6606 | 2019-01-12 |
| 1609347368 | Bailey's Innovation Group | Counselor | 4030 Wake Forest Rd Ste 300, Raleigh, NC 27609-6800 | 2018-12-06 |
| Find all providers in RALEIGH | ||||
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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.