Healthcare Provider Details

I. General information

NPI: 1508805953
Provider Name (Legal Business Name): CRAWFORD CONSULTING AND MENTAL HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 04/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6490 LANDOVER RD SUITE D
CHEVERLY MD
20785-1443
US

IV. Provider business mailing address

6490 LANDOVER RD SUITE D
CHEVERLY MD
20785-1443
US

V. Phone/Fax

Practice location:
  • Phone: 301-341-5111
  • Fax: 301-341-5211
Mailing address:
  • Phone: 301-341-5111
  • Fax: 301-341-5211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. PARTICK CRAWFORD
Title or Position: PRESIDENT
Credential: LCSW-C, LICSW
Phone: 301-341-5111