Crystal Schultz

Individual provider Active NPI Mental Health Counselor · Carrabelle, FL

NPI 1316716384 · NPPES record last updated Jan 1, 2024

Key facts

NPI
1316716384
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
PMH2136 (FL)
Practice address
105 Royal Tern Way
Carrabelle, FL 32322-8011
Phone
(317) 999-7985
NPI assigned
Jan 1, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PMH2136FLMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PMH2136 FL Yes

Addresses

Primary practice location

105 Royal Tern Way
Carrabelle, FL 32322-8011

Mailing address

105 Royal Tern Way
Carrabelle, FL 32322-8011
Phone (317) 999-7985

Other providers in Carrabelle, FL

All providers in Carrabelle, FL · Mental Health Counselor in Florida

Sources for this page

Verify at the official NPI Registry.