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General NPI Number Information
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NPI Number | 1700734787
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Entity Type | Organization
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Legal Business Name | CRYSTAL RANSOM COUNSELING, LLC
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Dates
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Enumeration Date | 03/17/2026
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 15528 TIDEWATER CT.
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City | BROOKWOOD
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State | AL
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Zip | 35444
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Country | US
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Telephone | 205-644-6175
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Fax |
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Provider Business Mailing Address
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Address Line | 8872 GADSDEN HWY # 1007
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City | TRUSSVILLE
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State | AL
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Zip | 35173-5204
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CRYSTAL RANSOM
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Credential | LICSW
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Telephone | 205-644-6175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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