Provider Demographics
NPI:1366317927
Name:CROWNED & CONFIDENT
Entity type:Organization
Organization Name:CROWNED & CONFIDENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DIEDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:HALIDAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-748-2180
Mailing Address - Street 1:2307 ASPIN ST APT 1
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23513-3907
Mailing Address - Country:US
Mailing Address - Phone:757-748-2180
Mailing Address - Fax:
Practice Address - Street 1:2307 ASPIN ST APT 1
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23513-3907
Practice Address - Country:US
Practice Address - Phone:757-748-2180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services