Provider Demographics
NPI:1407667082
Name:CRUMPLER HEALTH LLC
Entity type:Organization
Organization Name:CRUMPLER HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NGOC MINH HOANG
Authorized Official - Middle Name:
Authorized Official - Last Name:VIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-275-0945
Mailing Address - Street 1:801 LOUISIANA ST STE 313
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-4951
Mailing Address - Country:US
Mailing Address - Phone:415-275-0945
Mailing Address - Fax:
Practice Address - Street 1:801 LOUISIANA ST STE 313
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-4951
Practice Address - Country:US
Practice Address - Phone:415-275-0945
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty