Provider Demographics
NPI:1477268001
Name:MCCRAE, L.A. (LGADC, CPRS, RPS)
Entity Type:Individual
Prefix:DR
First Name:L.A.
Middle Name:
Last Name:MCCRAE
Suffix:
Gender:M
Credentials:LGADC, CPRS, RPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 BRIGHT OAKS DR
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-6251
Mailing Address - Country:US
Mailing Address - Phone:667-289-5098
Mailing Address - Fax:
Practice Address - Street 1:112 BRIGHT OAKS DR
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-6251
Practice Address - Country:US
Practice Address - Phone:667-289-5098
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-18
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No102X00000XBehavioral Health & Social Service ProvidersPoetry Therapist
No171400000XOther Service ProvidersHealth & Wellness Coach
No172V00000XOther Service ProvidersCommunity Health Worker
No174H00000XOther Service ProvidersHealth Educator
No175T00000XOther Service ProvidersPeer Specialist
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist