James, Crystal

James, Crystal is an sole proprietor health care provider with primary practice located at 7901 4Th St N Ste 300 , St Petersburg FL 33702-4399. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. James, Crystal can be contacted via phone (904) 326-3667.

Contact Information

Primary practice address
7901 4Th St N Ste 300 St Petersburg FL 33702-4399
Phone: (904) 326-3667
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH18161 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X E.1700359 Ohio

Profile Details

NPI number 1407195019
LBN Legal business name James, Crystal
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2013
Last updated Dec 20th, 2021 - about 3 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 1407195019 NPPES
Ohio MEDICAID 2443234

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