Crumbley Counseling Services LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

CRUMBLEY COUNSELING SERVICES LLC

Practice address

154 E Railroad St SE
Pelham, GA 31779-2235

Phone

(866) 273-6041

NPI assigned

Oct 22, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anickelette O Crumbley, LPC

Title

Owner

Phone

(866) 273-6041

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1083967558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 WINSTON DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300445788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 E RAILROAD ST SE",
            "city": "PELHAM",
            "state": "GA",
            "postal_code": "317792235",
            "telephone_number": "866-273-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRUMBLEY COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "CRUMBLEY",
        "authorized_official_first_name": "ANICKELETTE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-273-6041",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanda Allen, DNP, MSN, AGNP-C
• Autry State Prison Pharmacy
• Sarah Brooks, NP
• City of Pelham Board of Education
• Jennifer Cromer, RN
• Anicklette O Crumbley, LPC
• David B Drury, MD
• Cynthia Parker Drury, M.D.
• David Brian Drury, M.D.
• Rebekah Sharon Elliott, LMSW

• Professional Counselor in Pelham, GA
• Providers in Pelham, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.