Provider Demographics
NPI:1760059166
Name:CROUCH, ADRIANNA ELIZABETH (MS, NCC, LCPC, LMHC)
Entity Type:Individual
Prefix:MS
First Name:ADRIANNA
Middle Name:ELIZABETH
Last Name:CROUCH
Suffix:
Gender:F
Credentials:MS, NCC, LCPC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12645 E 131ST ST
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-5905
Mailing Address - Country:US
Mailing Address - Phone:812-327-8496
Mailing Address - Fax:
Practice Address - Street 1:12645 E 131ST ST
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-5905
Practice Address - Country:US
Practice Address - Phone:812-327-8496
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-06
Last Update Date:2022-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH20165101YM0800X
MDLGP9734101YM0800X
MDLC11669101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health