Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CRYSTAL DAWN ELLISON
Active Sole ProprietorCRYSTAL DAWN ELLISON is a Community/Behavioral Health healthcare provider located in SOUTHGATE, Michigan. NPI 1578422671 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · SOUTHGATE, MI
Registration Details
- NPI Number
- 1578422671
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 15, 2026 (0.60766641930746 yrs)
- Last Updated
- Mar 4, 2026
- License
-
1346928405 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15755 PARKWAY LN APT 1SOUTHGATE, MI, 481954739Browse MI providers · Browse ZIP 48195
- Phone
- 3134328885
- Primary Specialty
-
Community/Behavioral Health
251S00000X
- Additional Specialty
- Health & Wellness Coach
- Additional Specialty
- Community/Behavioral Health
Other Community/Behavioral Health Providers in SOUTHGATE, MI
| Name | Credential | NPI |
|---|---|---|
| SHERELLE J PALMER | LLMSW | 1538445952 |
| MRS. MICHELLE ELAINE SAMPLE | MA-LLPC | 1861765166 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.