Healthcare Provider Details

I. General information

NPI: 1174117410
Provider Name (Legal Business Name): CRYSTAL BECKWITH LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2021
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 N BOARDWALK FL 1
REHOBOTH BEACH DE
19971-2162
US

IV. Provider business mailing address

18766 JOHN J WILLIAMS HWY STE 4-172
REHOBOTH BEACH DE
19971-4417
US

V. Phone/Fax

Practice location:
  • Phone: 732-204-8195
  • Fax: 732-328-9958
Mailing address:
  • Phone: 732-204-8195
  • Fax: 732-204-8195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC-0011668
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: