Atkinson, Crystal

Atkinson, Crystal is an individual health care provider with primary practice located at 8359 Beacon Blvd Ste 416 , Fort Myers FL 33907. She recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as her primary health care specialty. Atkinson, Crystal can be contacted via phone (239) 529-0957.

Contact Information

Primary practice address
8359 Beacon Blvd Ste 416 Fort Myers FL 33907
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X RBT-17-41795 Texas

Profile Details

NPI number 1467933101
LBN Legal business name Atkinson, Crystal
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2018
Last updated Aug 20th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467933101 NPPES
Florida MEDICAID 023873900

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