KRYSTAL EAGLE
NPI 1841674058
Counselor - Mental Health in Little Rock, AR
About Krystal Eagle NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRYSTAL EAGLE (NPI 1841674058) is an individual mental health provider in Little Rock, Arkansas and active in the NPI registry since July 2015.
NPPES Registry Identity
Specialties & Licenses
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 Krystal Eagle's NPI number?
The NPI number for Krystal Eagle is 1841674058. It was assigned to this individual provider in the NPPES registry on July 17, 2015.
Where is Krystal Eagle located?
Krystal Eagle practices at 15 Brookidge Drive, Little Rock, AR 72205. The listed phone number is (501) 231-2612.
What is Krystal Eagle'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 Krystal Eagle was last updated on July 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Krystal Eagle · NPI 1841674058
Mental Health provider in Little Rock, Arkansas. Individual provider, active in the CMS NPPES registry since July 17, 2015.
## Identity
- **NPI:** 1841674058 (Entity type: Individual)
- **Enumerated:** July 17, 2015
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 15 BROOKIDGE DRIVE, Little Rock, AR 72205
- **Phone:** (501) 231-2612
## Record status
- **NPPES last updated:** July 17, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1841674058) · Data from the CMS NPPES public registry.