Provider Demographics
NPI:1619733516
Name:BREW, CRICKET FRANCIS
Entity Type:Individual
Prefix:
First Name:CRICKET
Middle Name:FRANCIS
Last Name:BREW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24419 SUMMER WIND CT
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33559-7931
Mailing Address - Country:US
Mailing Address - Phone:813-734-2532
Mailing Address - Fax:
Practice Address - Street 1:6563 STATE ROAD 54
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-6003
Practice Address - Country:US
Practice Address - Phone:727-380-9181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor