Provider Demographics
NPI:1598411233
Name:CROWDER, KIMBERLY (CPRS)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:
Last Name:CROWDER
Suffix:
Gender:F
Credentials:CPRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 COOL SPRINGS BLVD STE 270
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-6574
Mailing Address - Country:US
Mailing Address - Phone:888-339-9404
Mailing Address - Fax:
Practice Address - Street 1:125 COOL SPRINGS BLVD STE 270
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6574
Practice Address - Country:US
Practice Address - Phone:888-339-9404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-22
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No175T00000XOther Service ProvidersPeer Specialist