CRYSTAL DAVIS
NPI 1801379631
Counselor - Mental Health in Tupelo, MS

The NPI number for Crystal Davis is 1801379631. It was assigned to this individual provider in the NPPES registry on September 7, 2018.

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

The NPPES record for Crystal Davis was last updated on September 7, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 07, 2018

2434 S EASON BLVD, TUPELO, MS 38804(662) 640-4595(662) 680-6416 Get Directions Write a Review

NPPES record last updated: September 7, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Crystal Davis NPPES

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

CRYSTAL DAVIS (NPI 1801379631) is an individual mental health provider in Tupelo, Mississippi and active in the NPI registry since September 2018.

NPI1801379631

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameCRYSTAL DAVIS

Location Address2434 S EASON BLVDTupelo, MS 38804-6942

Mailing Address2434 S Eason BlvdTupelo, MS 38804-6942 · (662) 640-4595 · Fax (662) 680-6416

Fax(662) 680-6416

Sole ProprietorNo

Enumeration DateSeptember 7, 2018

✔ NPI 1801379631 is a valid, active identifier and passes the ISO check-digit test.

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

2434 S EASON BLVD, Tupelo, MS 38804

Medicaid00018203MS

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

Counselor (Mental Health)