| Justin Crymes Psychotherapy, Llc | |
|
1425 Piedmont Dr E Tallahassee FL 32308-7960 | |
| (850) 879-9648 | |
| Not Available |
| Full Name | Justin Crymes Psychotherapy, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1425 Piedmont Dr E, Tallahassee, Florida |
| Authorized Official Name and Position | Justin Crymes (LMHC/ OWNER) |
| Authorized Official Contact | 8508799648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Crymes Psychotherapy, Llc 42 Linzy Store Rd Crawfordville FL 32327-2696 Ph: () - | Justin Crymes Psychotherapy, Llc 1425 Piedmont Dr E Tallahassee FL 32308-7960 Ph: (850) 879-9648 |
| NPI Number | 1598466039 |
|---|---|
| Provider Enumeration Date | 03/13/2023 |
| Last Update Date | 03/13/2023 |
| Certification Date | 03/13/2023 |
| Medicare PECOS PAC ID | 5597109421 |
|---|---|
| Medicare Enrollment ID | O20240220001260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598466039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Justin Lee Crymes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811918832 PECOS PAC ID: 7214371145 Enrollment ID: I20240220001491 |
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