MRS. CRYSTAL TUCK (NPI# 1801991609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801991609 |
| Entity Type | Individual |
| Full Name | MRS. CRYSTAL TUCK |
| Credential | MS, LPC |
| Practice Address |
300 E College Ave Science Building, Room 409 Hartsville SC 29550-3742 |
| Practice Telephone | 8433838040 |
| Practice Fax Number | 8433838107 |
| Mailing Telephone | 8433838040 |
| Mailing Fax Number | 8433838107 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2309 | SC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | COMP. PSYCH. | 173625 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154692622 | Crystal Marie Tuck | Counselor | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2012-01-15 |
| Street Address |
300 E COLLEGE AVE SCIENCE BUILDING, ROOM 409 |
| City | HARTSVILLE |
| State | SC |
| Zip Code | 29550-3742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104890516 | Christopher Hal Jeppson | Specialist | 300 E College Ave, Hartsville, SC 29550-3742 | 2006-02-14 |
| 1205346343 | Kinsey Dunst | Specialist/Technologist | 300 E College Ave, Hartsville, SC 29550-3742 | 2017-10-03 |
| 1376936344 | Brittany Stone | Specialist/Technologist | 300 E College Ave, Hartsville, SC 29550-3742 | 2015-03-13 |
| 1144279746 | Iva Jill Banks | Psychologist | 300 E College Ave, Hartsville, SC 29550-3742 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790391456 | Empire Audiology, LLC | Audiologist | 3536 W Bobo Newsom Hwy, Hartsville, SC 29550 | 2020-09-18 |
| 1386125797 | Caresouth Hha Holdings of Washington, LLC | Hospice Care, Community Based | 696 Medical Park Dr Ste 2, Hartsville, SC 29550 | 2018-08-23 |
| 1740760735 | Danna Dubose Coe | Home Health | 1575 Winding Ridge Drive, Hartsville, SC 29550 | 2018-08-18 |
| 1548748452 | Samantha Elizabeth Kieffer | Counselor | 510 Carolina Ave, Hartsville, SC 29550 | 2018-08-02 |
| 1790277879 | Katarina K Epps | Counselor | 628 E Carolina Ave, Hartsville, SC 29550 | 2018-06-04 |
| 1497245328 | Mary Alice King | Counselor | 513 Woodland Drive, Hartsville, SC 29550 | 2018-05-16 |
| 1003321167 | Mcleod Physician Associates II | Internal Medicine | 1319 South 4th Street, Hartsville, SC 29550 | 2017-12-11 |
| 1902347677 | William H Long LLC | Family Medicine | 420a W Carolina Ave, Hartsville, SC 29550 | 2017-03-15 |
| 1821459470 | April S Crawley | Nurse Practitioner | 1 N 2nd St # C05, Hartsville, SC 29550 | 2016-03-10 |
| 1548635873 | Melissa Davis Ellington | Registered Nurse | 900 South 4th Street, Hartsville, SC 29550 | 2015-12-11 |
| Find all providers in zip 29550 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477988368 | Rochelle Simone Graham | Counselor | 144 Marlboro Ave, Hartsville, SC 29550-4218 | 2013-09-10 |
| 1790814374 | Jill Suzanne Kelley | Counselor | 5003 Una Rd, Hartsville, SC 29550-1954 | 2007-03-02 |
| 1740363530 | Alison Y Evans | Counselor | 302 Dunlap Dr, Hartsville, SC 29550-4943 | 2006-10-23 |
| 1619418779 | Palmetto Counseling of Hartsville LLP | Counselor | 5003 Una Rd, Hartsville, SC 29550-1954 | 2017-03-09 |
| 1396079927 | Madge W Zemp | Counselor | 5003 Una Rd, Hartsville, SC 29550-1954 | 2009-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960484 | Sharon Kristen Gregory | Counselor | 1003 Landfall Way Ste A, Seabrook Island, SC 29455-6323 | 2020-10-21 |
| 1518565928 | Family and Individual Therapeutic Healing LLC | Counselor | 300 Long Pointe Ln Ste 220-b, Columbia, SC 29229-7543 | 2020-10-16 |
| 1972101632 | Sherita Vondale Dudley Riley | Counselor | 2 Holly Hock Ct, Irmo, SC 29063-9477 | 2020-10-15 |
| 1346848504 | New Wind Counseling, LLC | Counselor | 203 Richfield Ter, Greer, SC 29650-3746 | 2020-10-11 |
| 1073120861 | John Napier Schumacher | Counselor | 121 Hillock Ct, Lexington, SC 29073-6969 | 2020-09-25 |
| 1174130298 | Emily Zoino | Counselor | 12 Maple Tree Ct Ste 101, Greenville, SC 29615-4079 | 2020-09-24 |
| 1093321150 | Cynthia Roark | Counselor | 1021 Pinnacle Point Dr Ste 120, Columbia, SC 29223-5740 | 2020-09-23 |
| 1497360507 | Susana Bryce Sharpley | Counselor | 3897 Maidstone Dr, Mount Pleasant, SC 29466-7558 | 2020-09-15 |
| 1144835547 | Kim Everard | Counselor | 105 Brookbend Rd, Mauldin, SC 29662-1625 | 2020-09-11 |
| 1538773536 | Jamie Ann Manko | Counselor | 1400 Crowndale Dr, Sumter, SC 29150-1874 | 2020-09-07 |
| Find all providers with the same taxonomy | ||||
| City | HARTSVILLE |
| Zip Code | 29550 |
Please comment or provide details below to improve the information on MRS. CRYSTAL TUCK.
| 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.