Most Relevant Information
Provider Data
| NPI Number: | 1003565946 |
| Provider Name: | CRYSTAL BANKS M.S. RMHCI |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/19/2022 |
| Last Updated: | 06/21/2023 |
Provider Practice Location
3544 EDGEWATER DR
ORLANDO
FL
328042922
Practice Location Phone/Fax
| Phone: | 4072918009 |
| Fax: | 4077705503 |
Provider Mailing Location
2437 AMERICANA BLVD APT 1326
ORLANDO
FL
328392896
Provider Mailing Phone/Fax
| Phone: | 2534681641 |
| Fax: |