Healthcare Provider Details

I. General information

NPI: 1891573689
Provider Name (Legal Business Name): KATHERINE FREEMAN CROFT LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2023
Last Update Date: 09/21/2023
Certification Date: 09/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 FIR LOOP
CEDAR CREST NM
87008-9468
US

IV. Provider business mailing address

13 WARWICK RD
ASHEVILLE NC
28803-2445
US

V. Phone/Fax

Practice location:
  • Phone: 903-388-5526
  • Fax:
Mailing address:
  • Phone: 903-388-5526
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License NumberCTB-2023-0788
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: