CRYSTAL EDWARDS


Address: 903 W Lincoln Ave, Charleston, IL 61920-2413
Phone: 2173488384

CRYSTAL EDWARDS (NPI# 1205335064) 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) 1205335064
Entity Type Individual
Full Name CRYSTAL EDWARDS
Other Name CRYSTAL HUMEL
Practice Address 903 W Lincoln Ave
Charleston
IL 61920-2413
Practice Telephone 2173488384
Mailing Telephone 2173488384
Enumeration Date 2018-02-07
Last Update Date 2018-02-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
34419 IL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL FEIN 743113035 01

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1639633134 Crystal J Edwards Speech-Language Pathologist 965 Fisher Rd, Many, LA 71449-3819 2019-01-29
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1225400260 Crystal Edwards Occupational Therapist 38 W 32nd St Ste 604, New York, NY 10001-3884 2015-10-29
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Office Location

Street Address 903 W LINCOLN AVE
City CHARLESTON
State IL
Zip Code 61920-2413

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124643879 Jenna Kay Mortensen Speech-Language Pathologist 2086 7th Street, Charleston, IL 61920 2020-06-09
1255954566 Christina L. White Nurse Practitioner 1199 Persimmon Rd, Charleston, IL 61920 2020-05-20
1679066773 Jennifer Hess Specialist/Technologist 2506 Lantz Building, Charleston, IL 61920 2018-06-13
1134647969 Nichole C Ogilvie Student in an Organized Health Care Education/Training Program 917 4th Street Apt 19, Charleston, IL 61920 2017-08-31
1467970319 Marcus Roach Physical Therapy Assistant 912 Oakcrest Dr. Apt D, Charleston, IL 61920 2017-08-30
1114478500 5 Guys Rx II LLC Pharmacy 1 W Lincoln Ave, Charleston, IL 61920 2016-10-20
1649723206 Bright Minds Educational Program Inc Developmental Therapist 7704 Deerpath Road, Charleston, IL 61920 2016-08-01
1760843379 Lisa Price Nurse Practitioner 2040 Lincoln Ave, Suite 100, Charleston, IL 61920 2016-03-09
1104243385 Nathan David Schwartzkopf Specialist/Technologist 1340 A Street, Charleston, IL 61920 2014-03-25
1558694349 Emily Schilling Specialist/Technologist 2350 Harrison Avenue, Charelston, IL 61920 2009-09-10
Find all providers in zip 61920

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578172870 Seri Bosse Counselor 1506 Kanawha Blvd W, Charleston, WV 25387-2533 2020-07-23
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1770133902 Leah Kelley Counselor 900 Christopher St, Charleston, WV 25301-1201 2019-09-19
1609362391 Ten Up Ministries, Inc Counselor 6697 Rocky Fork Road, Charleston, WV 25312 2018-07-05
1861983652 Chelsie Smith Counselor 1182 Dover Rd, Charleston, ME 04422-3031 2018-05-29
1306366679 First Choice Services Counselor 601 Morris St Ste 401, Charleston, WV 25301-1416 2017-06-27
1225560790 Jewell Allyson Carrington Counselor 1500 Parklawn Dr, Charleston, SC 29414-8130 2017-04-03
1013465855 Hope Hartz Counselor 1632 Kanawha Blvd E, Charleston, WV 25311-2115 2016-09-21
1609221001 Elinor Lee Smith Counselor 571 Savannah Hwy, Charleston, SC 29407 2016-05-04
1003275488 Janet Hilderbrand Counselor 7509 Charleston Pike, Charleston, IN 47111 2016-02-15
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Competitor

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City CHARLESTON
Zip Code 61920

Improve Information

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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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