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CRYSTAL L. HART LAC
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1093192338
Individual Registrant: CRYSTAL L. HART LAC
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1112 MAIN ST VILONIA, AR 72173 US
Tel: 501-772-9278 Fax: --
Tel: 501-772-9278 Fax: --
Contact information for business:
1600 ALDERSGATE RD STE 200 LITTLE ROCK, AR 72205-6676 US
Tel: 501-661-0720 Fax: 501-325-7938
Tel: 501-661-0720 Fax: 501-325-7938
Registration Information:
NPI: 1093192338
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health | AR | A1805053 |
| N | 171M00000X | Other Service Providers Case Manager/Care Coordinator | ||
| N | 171M00000X | Other Service Providers Case Manager/Care Coordinator | AR | |
| Y | 101YP2500X | Behavioral Health & Social Service Providers Counselor | AR | P2012114 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
