Stephens, Crystal Monte
Stephens, Crystal Monte is an individual health care provider with primary practice located at 607 Russell Pkwy , Warner Robins GA 31088-7640. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Stephens, Crystal Monte can be contacted via phone (478) 225-9860.Contact Information
Primary practice address
607 Russell Pkwy
Warner Robins GA 31088-7640
Phone: (478) 225-9860
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | Georgia |
Profile Details
| NPI number | 1003450040 |
|---|---|
| LBN Legal business name | Stephens, Crystal Monte |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2019 |
| Last updated | Nov 2nd, 2019 - about 7 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 | 1003450040 | NPPES |
| Georgia | Other | MAT | MAT |
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