CRYSTAL ANN SHULDA LSW NPI 1164206512

NPI Information

NPI: 1164206512
Provider Name: CRYSTAL ANN SHULDA, LSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
308 W PLAZA DR
CARTERVILLE, IL
ZIP 62918
Phone: (618) 713-7685
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Crystal Ann Shulda, LSW is a mental health counselor in Carterville, IL. Crystal Ann Shulda, LSW NPI is 1164206512. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

308 W PLAZA DR
CARTERVILLE, IL
ZIP 62918-095
Phone: (618) 713-7685

The enumeration date for this NPI number is 8/24/2023 and was last updated on 8/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	ILLINOIS	No
2	104100000X	Social Worker			No
3	106H00000X	Marriage & Family Therapist			No
4	101YM0800X	Counselor	Mental Health	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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