Provider Demographics
NPI:1598491383
Name:TOOMBS, CRYSTAL FRAZIER (LPC, BS-HSP)
Entity Type:Individual
Prefix:DR
First Name:CRYSTAL
Middle Name:FRAZIER
Last Name:TOOMBS
Suffix:
Gender:F
Credentials:LPC, BS-HSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5721 RIDGEWATER DR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30506-2391
Mailing Address - Country:US
Mailing Address - Phone:404-414-2554
Mailing Address - Fax:
Practice Address - Street 1:5721 RIDGEWATER DR
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30506-2391
Practice Address - Country:US
Practice Address - Phone:404-414-2554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-25
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC009965101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional