CRYSTAL HARRISON (NPI# 1871940437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871940437 |
| Entity Type | Individual |
| Full Name | CRYSTAL HARRISON |
| Credential | LPC |
| Practice Address |
4659 Ruby Ln Forest Park GA 30297 |
| Mailing Address |
4659 Ruby Ln Forest Park GA 30297-3732 |
| Practice Telephone | 3363922744 |
| Mailing Telephone | 3363922744 |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2019-07-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC010098 | GA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3941 Holcomb Bridge Rd Ste 100, Peachtree Corners, GA 300922292 | 8558500274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750816153 | Crystal Harrison | Student in an Organized Health Care Education/Training Program | 6410 Fannin St, Suite 350, Houston, TX 77030-3000 | 2017-04-24 |
| 1407166796 | Crystal Harrison | Licensed Practical Nurse | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2010-10-20 |
| Street Address |
4659 RUBY LN |
| City | FOREST PARK |
| State | GA |
| Zip Code | 30297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548747173 | Ga Peach Medical Transportation, LLC | Ambulance | 5023 Highway 85, Forest Park, GA 30297 | 2018-07-26 |
| 1467807156 | Naundria Jackson | Nurse Practitioner | Apmc, Forest Park, GA 30297 | 2016-04-29 |
| 1891156089 | Gentle Care Medical Trans LLC | Ambulance | 530 Forest Parkway Suite B, Forest Park, GA 30297 | 2016-03-15 |
| 1811318835 | Kim Mckinney | Case Manager/Care Coordinator | 1104 South Parkwood Drive, Forest Park, GA 30297 | 2013-12-17 |
| 1215361910 | Tiffany Nadine Adams | Specialist | 228 Morrow Rd 18h, Forest Park, GA 30297 | 2013-08-29 |
| 1851663124 | Daffodil Pediatrics and Family Medicine | Pediatrics | 4905 Courtney Drive, Forest Park, GA 30297 | 2012-02-02 |
| 1093093759 | Truliant Health Systems | Community/Behavioral Health | 526 Forest Parkway Ste D, Forest Park, GA 30297 | 2011-07-29 |
| 1811134133 | Sharonda Renee Forte | Orthopaedic Surgery | 4940 Governors Park Drive, Forest Park, GA 30297 | 2009-01-08 |
| 1215173737 | Comfort Personal Care Service | Assisted Living Facility | 5530 Old Dixie Highway, D-9, Forest Park, GA 30297 | 2009-01-06 |
| 1730360264 | American Foot & Leg Specialists, P.C. | Clinic/Center | 425 Forest Pkwy Ste 103, Forest Park, GA 30297 | 2007-11-27 |
| Find all providers in zip 30297 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372094 | 5678dancenow.inc | Counselor | 4035 Jonesboro Rd, Forest Park, GA 30297-1089 | 2020-10-08 |
| 1376167957 | Tiffany M Woods | Counselor | 1044 Ferdinand Ave, Forest Park, IL 60130-2204 | 2020-05-30 |
| 1730709858 | Behavioral Learning, LLC | Counselor | 1117 Thomas Ave, Forest Park, IL 60130-2320 | 2020-04-18 |
| 1346528809 | Alison Beauvais Carris | Counselor | 417 Des Plaines Ave Unit 623, Forest Park, IL 60130-4431 | 2011-08-01 |
| 1831702984 | Bailey Katz | Counselor | 8311 Roosevelt Rd, Forest Park, IL 60130-2500 | 2020-08-28 |
| 1801436969 | Annie Merab Arnold | Counselor | 8311 Roosevelt Rd, Forest Park, IL 60130-2500 | 2020-01-07 |
| 1407356371 | Muhammad Adam Bassiouny | Counselor | 8311 Roosevelt Rd, Forest Park, IL 60130-2529 | 2018-02-17 |
| 1144720178 | China Hill-lobue | Counselor | 8311 Roosevelt Rd, Forest Park, IL 60130-2529 | 2018-02-16 |
| 1831630201 | Andrea Ruetten | Counselor | 8311 Roosevelt Rd, Forest Park, IL 60130-2529 | 2017-03-17 |
| 1356705198 | Adrian Faulkner | Counselor | 8311 Roosevelt Rd, Forest Park, IL 60130-2529 | 2016-04-07 |
| Find all providers in FOREST PARK | ||||
| City | FOREST PARK |
| Zip Code | 30297 |
Please comment or provide details below to improve the information on CRYSTAL HARRISON.
| 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.