Healthcare Provider Details

I. General information

NPI: 1447007265
Provider Name (Legal Business Name): CRABTREE COUNSELING AND CONSULTING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2024
Last Update Date: 03/08/2026
Certification Date: 03/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1509 S HAWTHORNE RD
WINSTON SALEM NC
27103-4125
US

IV. Provider business mailing address

1509 S HAWTHORNE RD
WINSTON SALEM NC
27103-4125
US

V. Phone/Fax

Practice location:
  • Phone: 336-303-1414
  • Fax: 336-885-3801
Mailing address:
  • Phone: 336-303-1414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: REBECCA CRABTREE
Title or Position: OWNER
Credential: LCMHC
Phone: 336-303-1414