Crelvis, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MT004268 Issued in GA

Legal business name

CRELVIS, INC.

Doing business as

Lawrenceville Therapy and Wellness Center

Practice address

271-A S Culver St
Lawrenceville, GA 30045-4805

Phone

(770) 676-6383

NPI assigned

Apr 2, 2007

Last updated

Aug 22, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Regina ElvisNPI 1730322827

Title

President

Phone

(770) 378-6666

Specialties & licenses 1

Addresses

Other names 1

• Lawrenceville Therapy and Wellness Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Regina Louise Elvis, LMT

  • Contractor
  • Lawrenceville, GA
  • NPI 1730322827
  NPD (past) Authorized official

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250899200000",
    "number": "1437270923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 REBECCA ST",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300457475",
            "telephone_number": "770-378-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271-A S CULVER ST",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300454805",
            "telephone_number": "770-676-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRELVIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2009-08-22",
        "status": "A",
        "authorized_official_last_name": "ELVIS",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-378-6666",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "MT004268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lawrenceville Therapy and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dana Nicole Crawford, PHARMD
• Kevin Matthew Crawford, CAA
• Sparkle Breanna Crawford, LPC
• Andrea Melia Crawley, LPC
• Creative Enterprises, Inc.
• Savanna Crisler
• Critical Care Air, LLC (Critical Care MedFlight)
• Critical Care Medflight
• Nichole Crocker, MCD CCC SLP
• Ashley Parker Croker, PA-C

• Specialist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.