Provider Demographics
NPI:1497342638
Name:CROWE, CHELSEA (LMHC)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:CROWE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 ATKINS MAYO RD
Mailing Address - Street 2:
Mailing Address - City:PROVINCETOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02657-1708
Mailing Address - Country:US
Mailing Address - Phone:551-404-4180
Mailing Address - Fax:
Practice Address - Street 1:74 ATKINS MAYO RD
Practice Address - Street 2:
Practice Address - City:PROVINCETOWN
Practice Address - State:MA
Practice Address - Zip Code:02657-1708
Practice Address - Country:US
Practice Address - Phone:551-404-4180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-22
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11957101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health