Healthcare Provider Details

I. General information

NPI: 1821929340
Provider Name (Legal Business Name): BAMBI MICHELLE CRAWFORD-JONES LCMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 E ASH ST
GOLDSBORO NC
27530-4097
US

IV. Provider business mailing address

2835 OLD GRANTHAM RD
GOLDSBORO NC
27530-9766
US

V. Phone/Fax

Practice location:
  • Phone: 919-584-0041
  • Fax:
Mailing address:
  • Phone: 919-584-0041
  • Fax: 910-900-0924

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA21802
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: