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MR. CRYSTAL LOUISE KAVANAUGH LPE (PROVISIONAL)
NPI 1447380712
Counselor - Mental Health in Little Rock, AR

Active since March 06, 2007
5905 FOREST PL, LITTLE ROCK, AR 72207(501) 666-4949 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Crystal Louise Kavanaugh Lpe (provisional) NPPES

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

MR. CRYSTAL LOUISE KAVANAUGH LPE (PROVISIONAL) (NPI 1447380712) is an individual mental health provider in Little Rock, Arkansas, licensed in Arkansas (PROVISIONAL) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1447380712
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMR. CRYSTAL LOUISE KAVANAUGHCredential: LPE (PROVISIONAL)
Location Address5905 FOREST PLLittle Rock, AR 72207-5244
Mailing AddressPo Box 251970Little Rock, AR 72225-1970 · (501) 666-8686 · Fax (501) 660-6830
Phone(501) 666-4949
Sole ProprietorNo
Enumeration DateMarch 6, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1447380712 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 · PROVISIONAL
5905 FOREST PL, Little Rock, AR 72207
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVAUGHNDA SIMPSON
Case Manager/Care Coordinator
5905 FOREST PL, SUITE 100
LITTLE ROCK, AR 72207
Pulaski County (501) 666-4949
MRS. ZENOBIA CARTER M.S. LPE
Psychologist
5905 FOREST PL
LITTLE ROCK, AR 72207
Pulaski County (501) 666-8686
MRS. KATRINA ANN BRYANT
Case Manager/Care Coordinator
5905 FOREST PL, SUITE 100
LITTLE ROCK, AR 72207
Pulaski County (501) 666-4949
ELLEE GRACE HORNER
Student in an Organized Health Care Education/Training Program
5905 FOREST PL
LITTLE ROCK, AR 72207
Pulaski County (501) 367-8007
TIMOTHY GREGSON
Respiratory Therapist, Registered
5905 FOREST PL
LITTLE ROCK, AR 72207
Pulaski County (501) 566-1011
DR. ZARINA SHAH MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
5905 FOREST PL, CENTERS FOR YOUTH AND FAMILIES, SUITE 210
LITTLE ROCK, AR 72207
Pulaski County (501) 660-6865
MS. RAMIE C SPEED
Case Manager/Care Coordinator
5905 FOREST PL, SUITE 100
LITTLE ROCK, AR 72207
Pulaski County (501) 666-4949
JOHN EDGER GODFREY
Case Manager/Care Coordinator
5905 FOREST PL, SUITE 100
LITTLE ROCK, AR 72207
Pulaski County (501) 666-4949

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 Crystal Kavanaugh's NPI number?

The NPI number for Crystal Kavanaugh is 1447380712. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Crystal Kavanaugh located?

Crystal Kavanaugh practices at 5905 Forest Pl, Little Rock, AR 72207. The listed phone number is (501) 666-4949.

What is Crystal Kavanaugh'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 Crystal Kavanaugh was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.