IndividualActive
Crystal Shulda, LCSW
NPI 1164206512 · Mental Health Counselor · Herrin, IL
Provider details
- NPI number
- 1164206512
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
Practice location
101 Chittyville Rd
Herrin, IL 62948-3552
Phone: (618) 498-0190
Fax: (618) 417-6049
Approximate (ZIP-level) locationGet directions
Mailing address
412 Farris St
Carterville, IL 62918-1177
Registry dates
- Enumerated
- 2023-08-24
- Last updated
- 2025-04-14
- Certified
- 2025-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.