CRYSTAL LYNN FAVRE (NPI# 1619202041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619202041 |
| Entity Type | Individual |
| Full Name | CRYSTAL LYNN FAVRE |
| Credential | LPC007028, GEORGIA |
| Practice Address |
2404 Refuge Rd Jasper GA 30143-4946 |
| Mailing Address |
905 Rocky Ridge Pass Canton GA 30114-9751 |
| Practice Telephone | 7066927209 |
| Practice Fax Number | 7066930144 |
| Mailing Telephone | 4047862040 |
| Mailing Fax Number | 7703458801 |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2013-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
2404 REFUGE RD |
| City | JASPER |
| State | GA |
| Zip Code | 30143-4946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508917907 | John Tyler Mauldin Jr. | Psychologist | 2404 Refuge Rd, Jasper, GA 30143-4946 | 2007-01-15 |
| 1225532658 | Michelle Grunkemeyer | Counselor | 2404 Refuge Rd, Jasper, GA 30143-4946 | 2018-03-20 |
| 1881940260 | Collaborations for Resiliency In Children, Inc | Counselor | 2404 Refuge Rd, Jasper, GA 30143-4946 | 2012-08-03 |
| 1104190073 | Collaborations for Resiliency In Children, Inc | Community/Behavioral Health | 2404 Refuge Rd, Jasper, GA 30143-4946 | 2012-02-23 |
| 1730310616 | Victoria Tigner Reaves | Counselor | 2404 Refuge Rd, Jasper, GA 30143-4946 | 2009-07-27 |
| 1841431897 | Dianna M Hubay | Marriage & Family Therapist | 2404 Refuge Rd, Jasper, GA 30143-4946 | 2009-03-19 |
| 1154515278 | John Mauldin Phd LLC | Psychologist | 2404 Refuge Rd, Jasper, GA 30143-4946 | 2007-08-31 |
| 1063555266 | Rolake O Tomori | Psychologist | 2404 Refuge Rd, Jasper, GA 30143-4946 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111845 | George Mackel, Pmhnp-bc, LLC | Nurse Practitioner | 12034 Big Canoe, 400 Shetland Trace, Jasper, GA 30143 | 2020-10-14 |
| 1598363434 | Amanda J Griggs | Massage Therapist | 54 Wolfscratch Village, Jasper, GA 30143 | 2020-10-13 |
| 1801397724 | Jema Day | Nurse Practitioner | 620 J L White Dr Ste 140, Jasper, GA 30143 | 2018-02-26 |
| 1023467545 | North Georgia Personal Care LLC | Home Health | 501 North Main St., Suite B, Jasper, GA 30143 | 2016-06-06 |
| 1871979641 | Sj & J Spine and Pain Group Holding LLC | Pain Medicine | 91 Sammy Mcghee Blvd, Suite 101, Jasper, GA 30143 | 2015-08-04 |
| 1801294293 | Highland Recovery Center | Community/Behavioral Health | 323 Roland Road, Jasper, GA 30143 | 2014-12-17 |
| 1770905861 | Leslie Rhea Hanagan | Speech-Language Pathologist | 22 Dogwood Lane, Jaser, GA 30143 | 2014-01-09 |
| 1669800660 | Pickens County Chiropractic | Chiropractor | 95 North Main Street, Jasper, GA 30143 | 2013-10-29 |
| 1407139264 | Rocky Mountain Holdings LLC | Ambulance | 70 Airport Business Court, Jasper, GA 30143 | 2011-09-27 |
| 1851681415 | Richard J Vandam | Internal Medicine | 1266 Highway 515, Piedmont Mountainside Hospital, Jasper, GA 30143 | 2011-04-15 |
| Find all providers in zip 30143 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265972368 | Charles Taylor | Counselor | 1200 6th Ave S, Jasper, AL 35501-4606 | 2017-03-08 |
| 1578669230 | Janice Erline Mcadams | Counselor | 342 E Milam St Ste B, Jasper, TX 75951-4116 | 2006-09-16 |
| 1790308245 | Mark Mcguire | Counselor | 1100 7th Ave, Jasper, AL 35501-4377 | 2020-05-19 |
| 1215301528 | Cam Dowling Parks | Counselor | 323 Roland Rd, Jasper, GA 30143-5336 | 2015-11-24 |
| 1225468689 | Kristin Rush | Counselor | 37875 Jasper Lowell Rd, Jasper, OR 97438-9751 | 2013-11-22 |
| 1306112818 | Karensa Goodman | Counselor | 323 Roland Rd, Jasper, GA 30143-5336 | 2012-03-29 |
| 1063602027 | Dan Silver | Counselor | 37875 Jasper Lowell Rd, Jasper, OR 97438-9751 | 2007-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144829102 | Estefania Salinas | Counselor | 1565 Benton Blvd Apt 412, Savannah, GA 31407-0408 | 2020-10-21 |
| 1225636392 | Courtney Hampton | Counselor | 1800 Wesleyan Dr Apt 95, Macon, GA 31210-1075 | 2020-10-12 |
| 1063010247 | Jeffrey Heath Williamson | Counselor | 3350 Lansbury Village Dr Apt 2, Atlanta, GA 30341-5749 | 2020-10-11 |
| 1548868730 | Dynamic Change | Counselor | 2255 Cumberland Pkwy Se Ste 240, Atlanta, GA 30339-4515 | 2020-10-11 |
| 1871191023 | Nichole Harden-gresham | Counselor | 3837 Bay Orchard Ln, Loganville, GA 30052-6611 | 2020-10-10 |
| 1497362917 | Valerie Larkin | Counselor | 139 W Ellis Rd Ste A, Griffin, GA 30223-7149 | 2020-09-29 |
| 1700493798 | Nathaniel Johnson | Counselor | 612 Beretta Dr, Grovetown, GA 30813-2198 | 2020-09-24 |
| 1346857463 | Jefferson Counseling, LLC | Counselor | 20 Lee St Ste 5, Jefferson, GA 30549-6327 | 2020-09-24 |
| 1376158360 | Two Rivers Counseling and Psychological Services, LLC | Counselor | 72 Bonnie Reed Psge, Midway, GA 31320-4925 | 2020-09-15 |
| 1861007064 | Tara Tanksley Stallings | Counselor | 1734 Jenkins St, Augusta, GA 30904-3736 | 2020-09-14 |
| Find all providers with the same taxonomy | ||||
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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.