MS. CRYSTAL KOREN PELLOM LPC-A NPI 1295189702

NPI Information

NPI: 1295189702
Provider Name: MS. CRYSTAL KOREN PELLOM, LPC-A
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
615 SHIPYARD BLVD
WILMINGTON, NC
ZIP 28412
Phone: (910) 343-0145
Get Directions

MS. Crystal Koren Pellom, LPC-A is a mental health counselor in Wilmington, NC. MS. Crystal Koren Pellom, LPC-A NPI is 1295189702. 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:

615 SHIPYARD BLVD
WILMINGTON, NC
ZIP 28412
Phone: (910) 343-0145

The enumeration date for this NPI number is 4/20/2016 and was last updated on 7/2/2018.

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 Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	A12297	NORTH CAROLINA	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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »