Provider Demographics
NPI:1215237540
Name:CROWE, DEBORAH S (MS)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:S
Last Name:CROWE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 CUMBERLAND CIR
Mailing Address - Street 2:
Mailing Address - City:LOCUST GROVE
Mailing Address - State:VA
Mailing Address - Zip Code:22508-5209
Mailing Address - Country:US
Mailing Address - Phone:434-222-0539
Mailing Address - Fax:434-432-8603
Practice Address - Street 1:25 REID STREET
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:VA
Practice Address - Zip Code:24531-0433
Practice Address - Country:US
Practice Address - Phone:434-432-8602
Practice Address - Fax:434-432-8603
Is Sole Proprietor?:No
Enumeration Date:2010-11-03
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810006086Medicaid