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CRISTAL ELLIS LAC
NPI 1205334000
Counselor - Mental Health in Benton, AR

Active since January 26, 2018
211 S MAIN ST, BENTON, AR 72015(501) 672-2339(501) 214-6867 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cristal Ellis Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRISTAL ELLIS LAC (NPI 1205334000) is an individual mental health provider in Benton, Arkansas, licensed in Arkansas (A2401026) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1205334000
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCRISTAL ELLISCredential: LAC
Location Address211 S MAIN STBenton, AR 72015
Mailing Address211 S Main StBenton, AR 72015
Phone(501) 672-2339
Fax(501) 214-6867
Sole ProprietorNo
Enumeration DateJanuary 26, 2018
Last NPPES UpdateJanuary 29, 2024
NPPES CertifiedJanuary 26, 2024
✔ NPI 1205334000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AR · A2401026
211 S MAIN ST, Benton, AR 72015
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cristal Ellis's NPI number?

The NPI number for Cristal Ellis is 1205334000. It was assigned to this individual provider in the NPPES registry on January 26, 2018.

Where is Cristal Ellis located?

Cristal Ellis practices at 211 S Main St, Benton, AR 72015. The listed phone number is (501) 672-2339.

What is Cristal Ellis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Cristal Ellis was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.