Crystal Annette Roark in Elk City - Mental Health
Crystal Annette Roark - NPI 1225040553
Crystal Annette Roark is a Mental Health in Elk City, Oklahoma. Crystal Annette Roark practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Crystal Annette Roark is 1225040553. The last update date is 2007-07-08.
Crystal Annette Roark's current location address is 1621 W 1st St, Elk City, Oklahoma. You can contact this provider via phone number 5803236021 and fax number 5803239375. The mailing address for Crystal Annette Roark is 1621 W 1st St, Elk City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Crystal Annette Roark |
|---|---|
| Address | 1621 W 1st St, Elk City, Oklahoma |
| Phone Number | 5803236021 |
| Fax Number | 5803239375 |
| Sole Proprietor | N |
| Credentials | B.S., CM-A |
NPI Number Detail
| NPI Number | 1225040553 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1621 W 1st St |
|---|---|
| City | Elk City |
| State | Oklahoma (OK) |
| Post Code | 736444415 |
| Phone Number | 5803236021 |
| Fax Number | 5803239375 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique identification code assigned to Crystal Annette Roark by the Centers for Medicare & Medicaid Services?
The Crystal Annette Roark has been issued the NPI (National Provider Identifier) 1225040553. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Crystal Annette Roark located?
The Crystal Annette Roark is located at 1621 W 1St St, Elk City, OK 736444415.
What is Crystal Annette Roark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Crystal Annette Roark's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.
On what date did the Crystal Annette Roark receive the assignment of its 1225040553 from the Centers for Medicare & Medicaid Services?
The Crystal Annette Roark was issued its 1225040553 by the Centers for Medicare & Medicaid Services on 2006-08-13.
When was the Crystal Annette Roark's information last updated?
The Crystal Annette Roark's information was last updated on 2007-07-08.