Provider Demographics
NPI:1164022786
Name:CROWLEY, RYAN PATRICK (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:PATRICK
Last Name:CROWLEY
Suffix:
Gender:M
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1441 NEW HIGHWAY 96 W
Mailing Address - Street 2:STE 2 - 228
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064
Mailing Address - Country:US
Mailing Address - Phone:504-920-5738
Mailing Address - Fax:
Practice Address - Street 1:5810 SHELBY OAKS DR STE B
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38134-7315
Practice Address - Country:US
Practice Address - Phone:504-920-5738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-01
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTPMF205106H00000X
SCTLC331PC106H00000X
TN2000106H00000X
TX204233106H00000X
LAMFT1437106H00000X
NV3142-R106H00000X
CA120645106H00000X
COMFT.0002335106H00000X
UT13235343-3902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist