AUDREY CROCKETT NPI 1164814489

NPI Information

NPI: 1164814489
Provider Name: AUDREY CROCKETT
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
14 S BROADWAY
BALTIMORE, MD
ZIP 21231
Phone: (865) 228-9412
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Audrey Crockett is a professional counselor in Baltimore, MD. Audrey Crockett NPI is 1164814489. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14 S BROADWAY
BALTIMORE, MD
ZIP 21231-712
Phone: (865) 228-9412

The enumeration date for this NPI number is 2/24/2015 and was last updated on 2/24/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	LGP5888	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	LGP5888	OTHER	MARYLAND	LGPC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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