CRYSTAL DAWN ELLISON
NPI 1578422671
Community/Behavioral Health in Southgate, MI

Active since January 15, 2026
15755 PARKWAY LN APT 1, SOUTHGATE, MI 48195(313) 432-8885 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2026, Mar 4, 2026, Jan 15, 2026 (3 updates tracked since 2026).

About Crystal Dawn Ellison NPPES

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

CRYSTAL DAWN ELLISON (NPI 1578422671) is an individual community/behavioral health provider in Southgate, Michigan and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1578422671
Entity TypeIndividualFemale
Primary Taxonomy251S00000X
Provider Legal NameCRYSTAL DAWN ELLISON
Location Address15755 PARKWAY LN APT 1Southgate, MI 48195-4739
Mailing Address15755 Parkway Ln Apt 1Southgate, MI 48195-4739 · (313) 432-8885
Sole ProprietorYes
Enumeration DateJanuary 15, 2026
Last NPPES UpdateApril 6, 20263 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
NPI 1578422671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
15755 PARKWAY LN APT 1, Southgate, MI 48195

Other Providers at the Same Location NPPES

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

Community/Behavioral Health
15755 PARKWAY LN APT 1
SOUTHGATE, MI 48195

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 Ellison's NPI number?

The NPI number for Crystal Ellison is 1578422671. It was assigned to this individual provider in the NPPES registry on January 15, 2026.

Where is Crystal Ellison located?

Crystal Ellison practices at 15755 Parkway Ln Apt 1, Southgate, MI 48195. The listed phone number is (313) 432-8885.

What is Crystal Ellison's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Crystal Ellison was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.