A Crystal Mind

LBN: A Crystal Mind
A Crystal Mind is an health care organization with primary practice located at 4015 Executive Park Dr Ste 310 , Cincinnati OH 45241-4015. The organization recently has 9 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness, Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center), Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty. A Crystal Mind can be contacted via phone (513) 923-6336, or through Farrell, Crystal via phone (513) 923-6336.

Contact Information

Primary practice address
4015 Executive Park Dr Ste 310 Cincinnati OH 45241-4015
Phone: (513) 923-6336
Fax: (562) 261-1296
Website:
Map and Directions
Authorized official contact:
Name: Farrell, Crystal MSN, CNP
Phone: (513) 923-6336

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness 310500000X
Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) 311500000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1467068262
LBN Legal business name A Crystal Mind
DBA Doing business as
Authorized official Farrell, Crystal MSN, CNP
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2020
Last updated Jan 16th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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