=====================================================
General NPI Number Information
=====================================================
NPI Number | 1548912611
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CROZIER PROFESSIONAL COUNSELING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/20/2022
-----------------------------------------------------
Last Update Date | 01/20/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 160 CHARLES DR
-----------------------------------------------------
City | WINDSOR
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17366-9700
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-501-5457
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 160 CHARLES DR
-----------------------------------------------------
City | WINDSOR
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17366-9700
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-501-5457
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/ THERAPIST
-----------------------------------------------------
Name | JULIA DEE CROZIER
-----------------------------------------------------
Credential | LPC
-----------------------------------------------------
Telephone | 717-471-0585
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0850X
-----------------------------------------------------
Taxonomy Name | Adult Mental Health Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------