Healthcare Provider Details

I. General information

NPI: 1538969050
Provider Name (Legal Business Name): CRUMPLER THERAPY SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2025
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3434-135 KILDAIRE FARM RD #959
CARY NC
27518
US

IV. Provider business mailing address

3434-135 KILDAIRE FARM RD #959
CARY NC
27518
US

V. Phone/Fax

Practice location:
  • Phone: 919-342-8678
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. HALEY ELIZABETH CRUMPLER
Title or Position: LCSW
Credential: LCSW
Phone: 508-713-3913