Crystal Blue, PEER SUPPORT

Peer Specialist · Dayton, OH

Individual Active NPI

NPI number 1669288171

Practice location

4977 Northcutt Pl
Dayton, OH 45414-3839
Phone
(800) 829-5461

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NPI record

NPI
1669288171
Entity type
Individual (Type 1)
Enumeration date
December 9, 2024
Last updated
December 9, 2024
Certified
December 9, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X APS005618 OH

Mailing address

5512 Fisher Dr
Dayton, OH 45424-5528

About Crystal Blue

Crystal Blue, PEER SUPPORT is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 4977 Northcutt Pl, Dayton, OH 45414-3839. The NPI number 1669288171 was assigned on December 9, 2024 and the record was last updated on December 9, 2024.

Crystal Blue lists a license in the registry: #APS005618 (OH) for Peer Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Crystal Blue, PEER SUPPORT?

The NPI number is 1669288171.

What is the phone number of Crystal Blue?

The phone number listed for the practice location is (800) 829-5461.

Where is Crystal Blue located?

4977 Northcutt Pl, Dayton, OH 45414-3839.

What is the taxonomy code for Crystal Blue?

The primary taxonomy code is 175T00000X – Peer Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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