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Crystal Ellison
NPI 1578422671 · on the registry since 2026 · sole proprietor
Practice
- Address
- 15755 Parkway Ln Apt 1
Southgate, MI 48195 - Phone
- (313) 432-8885
- Organisation at this address
- Trust The Change
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 251S00000X
251S00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan