Ervin, Crystal
Ervin, Crystal is an sole proprietor health care provider with primary practice located at 1 Chick Springs Rd Ste 210A , Greenville SC 29609. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Ervin, Crystal can be contacted via phone (864) 569-7344.Contact Information
Primary practice address
1 Chick Springs Rd Ste 210A
Greenville SC 29609
Phone: (864) 569-7344
Fax: (864) 412-8516
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | ||
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 4012 |
Profile Details
| NPI number | 1790044915 |
|---|---|
| LBN Legal business name | Ervin, Crystal |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2012 |
| Last updated | Aug 27th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790044915 | NPPES |
| South Carolina | MEDICAID | PC1961 |
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