Chrystal Croom is a Counselor in Selmer, Tennessee. Chrystal Croom practices all healthcare services and medical treatments related to Counselor. The NPI Number for Chrystal Croom is 1912190927. The last update date is 2007-08-22.
Chrystal Croom's current location address is 641 E Poplar Ave, Selmer, Tennessee. You can contact this provider via phone number 7316455753 and fax number 7316459885. The mailing address for Chrystal Croom is 641 E Poplar Ave, Selmer, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chrystal Croom |
|---|---|
| Address | 641 E Poplar Ave, Selmer, Tennessee |
| Phone Number | 7316455753 |
| Fax Number | 7316459885 |
| Sole Proprietor | N |
| Credentials | BSW |
NPI Number Detail
| NPI Number | 1912190927 |
|---|---|
| Provider Enumeration Date | 2007-08-22 |
| Last Updated Date | 2007-08-22 |
Provider Mailing Address Detail
| Address | 641 E Poplar Ave |
|---|---|
| City | Selmer |
| State | Tennessee (TN) |
| Post Code | 383751828 |
| Phone Number | 7316455753 |
| Fax Number | 7316459885 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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What is the unique 10-digit identification code issued to Chrystal Croom by the Centers for Medicare & Medicaid Services?
The Chrystal Croom has been assigned the NPI (National Provider Identifier) 1912190927 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Chrystal Croom located?
The Chrystal Croom is located at 641 E Poplar Ave, Selmer, TN 383751828.
What is the Chrystal Croom's area of specialization and corresponding taxonomy classification?
The Chrystal Croom's specialty field is Counselor, and it falls under the taxonomy code 101Y00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1912190927 to Chrystal Croom?
The Centers for Medicare & Medicaid Services assigned the 1912190927 to Chrystal Croom on 2007-08-22.
As of what date were the details related to Chrystal Croom most recently updated or revised?
The information pertaining to Chrystal Croom, including its address, specialty, and other relevant details, was last updated or revised on 2007-08-22.
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