Provider Demographics
NPI:1629600887
Name:MCCRAW, ROBBIE B (LPCA)
Entity Type:Individual
Prefix:MS
First Name:ROBBIE
Middle Name:B
Last Name:MCCRAW
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:723 SCHOLASTIC CT
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-5136
Mailing Address - Country:US
Mailing Address - Phone:252-725-4919
Mailing Address - Fax:
Practice Address - Street 1:8025 N POINT BLVD STE 230
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-3288
Practice Address - Country:US
Practice Address - Phone:336-331-3162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-06
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA15261103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty