Provider Demographics
NPI:1720643075
Name:PEGRAM-CRAWLEY, ARKITIA SHERRIE (LPC)
Entity type:Individual
Prefix:MRS
First Name:ARKITIA
Middle Name:SHERRIE
Last Name:PEGRAM-CRAWLEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 KING GEORGE QUAY
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23325-4750
Mailing Address - Country:US
Mailing Address - Phone:757-328-6031
Mailing Address - Fax:
Practice Address - Street 1:816 GREENBRIER CIR STE 209
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-2642
Practice Address - Country:US
Practice Address - Phone:757-328-6031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-02
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701008280101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional