CRYSTAL MAGAZINE MSW NPI 1770009037

NPI Information

NPI: 1770009037
Provider Name: CRYSTAL MAGAZINE, MSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
229 E MAIN ST
MONCKS CORNER, SC
ZIP 29461
Phone: (843) 899-8890
Get Directions

Crystal Magazine, MSW is a mental health counselor in Moncks Corner, SC. Crystal Magazine, MSW NPI is 1770009037. 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:

229 E MAIN ST
MONCKS CORNER, SC
ZIP 29461-767
Phone: (843) 899-8890

The enumeration date for this NPI number is 8/18/2017 and was last updated on 7/21/2022.

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		SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	576000313	MEDICAID	SOUTH CAROLINA

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

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