1053825331 NPI number — MRS. CRYSTAL JEANNE SAGE MA, LMHC

Table of content: MRS. CRYSTAL JEANNE SAGE MA, LMHC (NPI 1053825331)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053825331 NPI number — MRS. CRYSTAL JEANNE SAGE MA, LMHC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SAGE
Provider First Name:
CRYSTAL
Provider Middle Name:
JEANNE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MA, LMHC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1053825331
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/18/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
125 FLORIDA BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MERRITT ISLAND
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32953-3010
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
863-866-7065
Provider Business Mailing Address Fax Number:
352-309-0769

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1980 N ATLANTIC AVE STE 813
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COCOA BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32931-3276
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
863-866-7065
Provider Business Practice Location Address Fax Number:
352-309-0769
Provider Enumeration Date:
11/26/2017

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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