Provider Demographics
NPI:1487448577
Name:CRIMSON DOVE COUNSELING SERVICES INC
Entity type:Organization
Organization Name:CRIMSON DOVE COUNSELING SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:502-742-4014
Mailing Address - Street 1:214 BRECKENRIDGE LN STE 205
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-3879
Mailing Address - Country:US
Mailing Address - Phone:502-742-4014
Mailing Address - Fax:502-709-4264
Practice Address - Street 1:214 BRECKENRIDGE LN STE 205
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-3879
Practice Address - Country:US
Practice Address - Phone:502-742-4014
Practice Address - Fax:502-709-4264
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CRIMSON DOVE COUNSELING SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-05
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty