Provider Demographics
NPI:1316456379
Name:CHILD ADVOCACY INTERNATIONAL
Entity type:Organization
Organization Name:CHILD ADVOCACY INTERNATIONAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:DABNEY
Authorized Official - Last Name:CROSBY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, PHD, NCC, CCMHC
Authorized Official - Phone:757-409-7613
Mailing Address - Street 1:4388 HOLLAND RD STE 110
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-1389
Mailing Address - Country:US
Mailing Address - Phone:757-810-7555
Mailing Address - Fax:757-509-9345
Practice Address - Street 1:4388 HOLLAND RD STE 110
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-1389
Practice Address - Country:US
Practice Address - Phone:757-810-7555
Practice Address - Fax:757-509-9345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-21
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
1249537OtherCAQH
VA0701005637OtherLPC
1497075493OtherNPI