| Crystal Gholston, | |
|
1459 Main St, Tunica, MS 38676 | |
| (662) 363-3222 | |
| (662) 363-4749 |
| Full Name | Crystal Gholston |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1459 Main St, Tunica, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750178794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Gholston, 831 Amanda Cv, Hernando, MS 38632-1333 Ph: (662) 299-4677 | Crystal Gholston, 1459 Main St, Tunica, MS 38676 Ph: (662) 363-3222 |
Mrs. Kyle Kimbriel Still, M.ED., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1459 Main St, Tunica, MS 38676 Phone: 662-636-3222 | |
Mr. Phillip Parker, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1459 Main St., Tunica, MS 38676 Phone: 662-363-5999 Fax: 662-627-5240 | |
Mrs. Yaminoh Childress-dunbar, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1459 Main St, Tunica, MS 38676 Phone: 662-627-7267 Fax: 662-627-5240 |