Provider Demographics
NPI:1578929006
Name:ROBYN CROUCH, LLC
Entity Type:Organization
Organization Name:ROBYN CROUCH, LLC
Other - Org Name:WEXFORD COUNSELING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:
Authorized Official - Last Name:CROUCH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:502-777-8914
Mailing Address - Street 1:11676 PERRY HWY STE 2108
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-7202
Mailing Address - Country:US
Mailing Address - Phone:412-324-3055
Mailing Address - Fax:412-430-3369
Practice Address - Street 1:11676 PERRY HWY STE 2108
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-7202
Practice Address - Country:US
Practice Address - Phone:412-324-3055
Practice Address - Fax:412-430-3369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-13
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC008116251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health