Provider Demographics
NPI:1467587295
Name:CROH, ERIC (LPC)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:
Last Name:CROH
Suffix:
Gender:M
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:PO BOX 451
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30086-0451
Mailing Address - Country:US
Mailing Address - Phone:404-985-6785
Mailing Address - Fax:404-963-0522
Practice Address - Street 1:2801 BUFORD HWY NE
Practice Address - Street 2:SUITE 550-B
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329-2149
Practice Address - Country:US
Practice Address - Phone:404-985-6785
Practice Address - Fax:404-963-0522
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor