NPIMap

Organization Active NPI

Resolutions Health Alliance, P.a.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lake City, FL
National Provider Identifier
1417100140
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RESOLUTIONS HEALTH ALLIANCE, P.A.
Practice address
512 W Duval St
Lake City, FL 32055-3899
Phone
(386) 754-9005
Fax
(386) 754-9017
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Erin E Crumitie
Title
Owner/ Ceo
Phone
(386) 754-9005

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

512 W Duval St
Lake City, FL 32055-3899

Mailing address

512 W Duval St
Lake City, FL 32055-3899
Phone (386) 754-9005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180104000592 FL Part B Supplier - Clinic/Group Practice 2961761556 Receives reassigned benefits from 1 practitioner
Practice locations: Lake City, FL

National Provider Directory

National Provider Directory

Locations

512 W Duval St
Lake City, FL 32055
Phone (386) 752-3877

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1417100140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 W DUVAL ST",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320553899",
            "telephone_number": "386-754-9005",
            "fax_number": "386-754-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 W DUVAL ST",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320553899",
            "telephone_number": "386-754-9005",
            "fax_number": "386-754-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESOLUTIONS HEALTH ALLIANCE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "CRUMITIE",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "386-754-9005",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.