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

Krystal Miracle

Individual provider Case Manager/Care Coordinator · NPI 1588355051

Krystal Miracle is a Case Manager/Care Coordinator in Vicksburg, Mississippi. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

1905 Mission 66
Vicksburg, MS 39180-3711
Phone: (601) 738-5820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1588355051
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 16, 2023
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025
Mailing address1905 Mission 66, Vicksburg, MS 39180-3711

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