MEDICARE: MS. DETRINA EVETTE CRAWLEY LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	9958	SC
2	101YM0800X	Mental Health Counselor	17471	NC
3	101YP2500X	Professional Counselor	717760	VA

General Provider Information

NPI Number	:	1528504172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DETRINA EVETTE CRAWLEY LPC

Provider Business Mailing Address
First Line	:	6601 IRONGATE SQ STE A&B
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23234-6077
Country	:	US
Telephone Number	:	804-621-4228
Fax Number	:	804-621-4231

Provider Business Practice Location Address
First Line	:	7524 HOLLYLEAF CT
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23234-2831
Country	:	US
Telephone Number	:	804-245-9088
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2017
Last Update Date	:	03/07/2026

Similar Medicare Providers

1922861947 — HEARTS OF GOLD IN HOME CARE, LLC
Practice Location Address:

5221 CHESTERFIELD AVE
CHARLESTON, WV
25304-2831

Practice Phone: 304-410-5678
Practice Fax:

1841267739 — JAMIE LYN MILLER REINSCHMIDT MD
Practice Location Address:

2831 N SNELLING AVE - MAIL STOP 39601A , NORTH SURBURBAN FAMILY PHYSICIANS - ROSEVILLE
ROSEVILLE, MN
55113-2460

Practice Phone: 651-765-5900
Practice Fax: 651-765-5901

1487740478 — AUDIOLOGY ASSOCIATES OF BOCA RATON, INC.
Practice Location Address:

2831 NORTH FEDERAL HIGHWAY , #11
BOCA RATON, FL
33431

Practice Phone: 561-392-0020
Practice Fax: 561-392-1856

1558431874 — CAROLINA ENDOCRINE ASSOCIATES, PA
Practice Location Address:

2831 TRICOM ST
NORTH CHARLESTON, SC
29406-9172

Practice Phone: 843-863-0088
Practice Fax: 843-764-1740

1295973873 — DR. EVELINE ADAMS WARING M.D.
Practice Location Address:

2831 TRICOM ST
NORTH CHARLESTON, SC
29406-9193

Practice Phone: 843-863-0088
Practice Fax:

1366728453 — TIM MOORE MHPP
Practice Location Address:

1901 MAIN ST
NORTH LITTLE ROCK, AR
72114-2831

Practice Phone: 501-955-2674
Practice Fax: 501-955-2754

Directions to “ MS. DETRINA EVETTE CRAWLEY LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.