Healthcare Provider Details

I. General information

NPI: 1215237540
Provider Name (Legal Business Name): DEBORAH S CROWE MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2010
Last Update Date: 01/04/2023
Certification Date: 01/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 REID STREET
CHATHAM VA
24531-0433
US

IV. Provider business mailing address

133 CUMBERLAND CIR
LOCUST GROVE VA
22508-5209
US

V. Phone/Fax

Practice location:
  • Phone: 434-432-8602
  • Fax: 434-432-8603
Mailing address:
  • Phone: 434-222-0539
  • Fax: 434-432-8603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: