Ervin, Crystal

Ervin, Crystal is an sole proprietor health care provider with primary practice located at 1 Chick Springs Rd Ste 210A , Greenville SC 29609. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Ervin, Crystal can be contacted via phone (864) 569-7344.

Contact Information

Primary practice address
1 Chick Springs Rd Ste 210A Greenville SC 29609
Phone: (864) 569-7344
Fax: (864) 412-8516
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Behavioral Health & Social Service Providers / Counselor 101Y00000X 4012

Profile Details

NPI number 1790044915
LBN Legal business name Ervin, Crystal
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2012
Last updated Aug 27th, 2018 - about 6 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 1790044915 NPPES
South Carolina MEDICAID PC1961

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