Individual provider · Type 1 NPI
Crystal Dawn Ellison
Community/Behavioral Health Agency · Southgate, MI
Practice location
15755 Parkway Ln Apt 1
Southgate, MI 48195-4739
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency Primary | 251S00000X | None listed |
Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…
Another provider at this address
Other community/behavioral health agency providers in Southgate
About NPI 1578422671
Crystal Dawn Ellison's National Provider Identifier is 1578422671, issued on Jan 15, 2026. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Southgate, MI. The record was last updated on Apr 6, 2026.