Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crystal Gillette Copeland

Individual provider Mental Health Counselor · NPI 1619635273

Crystal Gillette Copeland is a Mental Health Counselor in Fort Walton Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2021
Specialties on file
2

Practice location Address checks out

2514 Georgetown Ln
Fort Walton Beach, FL 32547-6818
Phone: (850) 461-8340
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH22502 (FL)
Mental Health Counselor Taxonomy 101YM0800X · Licence IMH20777 (FL)

Record details

NPI number1619635273
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 1, 2021
Last updated in NPPESAugust 20, 2023
Certification dateAugust 20, 2023
Mailing address2514 Georgetown Ln, Fort Walton Beach, FL 32547-6818

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