Provider Demographics
NPI:1013463595
Name:CROWE, GINGER (LPC-MHSP)
Entity Type:Individual
Prefix:
First Name:GINGER
Middle Name:
Last Name:CROWE
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1652 NEPTUNE RD
Mailing Address - Street 2:
Mailing Address - City:ASHLAND CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37015-6168
Mailing Address - Country:US
Mailing Address - Phone:615-568-8048
Mailing Address - Fax:
Practice Address - Street 1:1652 NEPTUNE RD
Practice Address - Street 2:
Practice Address - City:ASHLAND CITY
Practice Address - State:TN
Practice Address - Zip Code:37015-6168
Practice Address - Country:US
Practice Address - Phone:615-568-8048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-25
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3756101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health