Organization
A CRYSTAL MIND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL FARRELL MSN, CNP (OWNER)
(513) 923-6336
Entity
Organization
Contact information
Practice address
4015 EXECUTIVE PARK DR STE 310, CINCINNATI, OH 45241-4015
(513) 923-6336
(562) 261-1296
Mailing address
PO BOX 1441, WEST CHESTER, OH 45071-1441
(513) 923-6336
(562) 261-1296
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/17/2020
Last updated
01/16/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us