CRYSTAL AERIN DEWEEVER (NPI# 1164064978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164064978 |
| Entity Type | Individual |
| Full Name | CRYSTAL AERIN DEWEEVER |
| Credential | LPC |
| Practice Address |
2400 Gordon Smith Dr. Mobile AL 36617 |
| Mailing Address |
5750 A Southland Drive Mobile AL 36693-3316 |
| Practice Telephone | 2514504315 |
| Mailing Telephone | 2514502211 |
| Mailing Fax Number | 2516627297 |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2019-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
4160 | AL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4211 Government Blvd, Mobile, AL 36693 | 2514504315 |
| Street Address |
2400 GORDON SMITH DR. |
| City | MOBILE |
| State | AL |
| Zip Code | 36617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871118760 | Travis Berry | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr., Moorer Bldg. Room 120, Mobile, AL 36617 | 2020-06-16 |
| 1871145938 | Sagar Kumar | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr. Rm 714, Mobile, AL 36617 | 2019-07-09 |
| 1639630882 | Sarah Anderson | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Drive, Moorer Bldg. Room 120, Mobile, AL 36617 | 2019-03-29 |
| 1215415120 | Fnu Sameeta | Student in an Organized Health Care Education/Training Program | 2451 Usa Med Center Drive, Moorer Building Room 120, Mobile, AL 36617 | 2018-08-02 |
| 1659857670 | Sara Roberta Avalos Hernandez | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Drive, Moorer Building, Rm 120, Mobile, AL 36617 | 2018-07-12 |
| 1669978359 | Colin Thomas Buckley | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr. Rm 714, Mobile, AL 36617 | 2018-04-02 |
| 1336644590 | Shuo Shawn Liu | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr., Moorer Bldg. Room 120, Mobile, AL 36617 | 2018-03-28 |
| 1609308741 | Kulwant Singh Bath | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St Res Box 7th Floor, Mobile, AL 36617 | 2017-03-29 |
| 1780115238 | Lindsay Dianne Williams | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St., Mst 709, Mobile, AL 36617 | 2017-03-27 |
| 1164886693 | Charles Munderloh | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St., Res Box 7th Floor, Mobile, AL 36617 | 2016-04-11 |
| Find all providers in zip 36617 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677596 | Linda Jean Hayes | Counselor | 2146 Carson Court, Mobile, AL 36695 | 2020-10-22 |
| 1811506207 | Susan Marisa Boucher | Counselor | 3925 Spring Hill Ave, Mobile, AL 36608-5730 | 2020-07-30 |
| 1275151433 | John Amado Llauget | Counselor | 326 Spring Lake Dr N, Mobile, AL 36695-3434 | 2020-07-13 |
| 1295368256 | Tammera Carbo | Counselor | 150 Du Rhu Dr Apt 102, Mobile, AL 36608-1221 | 2020-02-19 |
| 1851931927 | The Space: A Counseling Center, LLC | Counselor | 600 Bel Air Blvd Ste 133, Mobile, AL 36606-3501 | 2020-01-07 |
| 1689216376 | Courtney Taylor Nall-mcculley | Counselor | 3929 Airport Blvd Ste 2-413, Mobile, AL 36609-2239 | 2019-10-14 |
| 1831746601 | Ecm Counseling, LLC | Counselor | 316 Bel Air Blvd., Suite 304, Mobile, AL 36606-3507 | 2019-08-26 |
| 1396211280 | Shalonda Jeanine Sewell | Counselor | 273 Cedar Dr, Mobile, AL 36617-3951 | 2018-10-17 |
| 1295236008 | Sara E Kenny | Counselor | 248 Cox St Ste B, Mobile, AL 36604-3303 | 2018-02-27 |
| 1316459084 | Johnathan Shane Black | Counselor | 7120 Airport Blvd, Mobile, AL 36608-4502 | 2017-11-02 |
| Find all providers in MOBILE | ||||
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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.