Organization
NEW LEAF BEHAVIORAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL STONE NP (CEO)
(618) 416-7738
Entity
Organization
Contact information
Practice address
423 N HIGH ST, BELLEVILLE, IL 62220-1214
(618) 416-7738
Mailing address
423 N HIGH ST, BELLEVILLE, IL 62220-1214
(618) 416-7738
(618) 416-7734
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/14/2022
Last updated
05/05/2026
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