Healthcare Provider Details

I. General information

NPI: 1528929726
Provider Name (Legal Business Name): BREANN KAY CRALEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2025
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 ROBINSON ST
POTTSTOWN PA
19464-6421
US

IV. Provider business mailing address

132 STONY BROOK DR
YORK PA
17402-2736
US

V. Phone/Fax

Practice location:
  • Phone: 484-941-0500
  • Fax:
Mailing address:
  • Phone: 717-683-4980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPC002688
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: