Healthcare Provider Details

I. General information

NPI: 1922939982
Provider Name (Legal Business Name): CRISIS CARE COLLECTIVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13508 E BOUNDARY RD STE A
MIDLOTHIAN VA
23112-3989
US

IV. Provider business mailing address

13508 E BOUNDARY RD STE A
MIDLOTHIAN VA
23112-3989
US

V. Phone/Fax

Practice location:
  • Phone: 804-866-9759
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ANDRIA STOKES
Title or Position: PARTNER
Credential: LCSW
Phone: 804-866-9759