Provider Demographics
NPI:1134823966
Name:CRAWFORD COACHING LLC
Entity type:Organization
Organization Name:CRAWFORD COACHING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:520-548-5004
Mailing Address - Street 1:2900 N SWAN RD STE 102
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-6008
Mailing Address - Country:US
Mailing Address - Phone:520-232-3360
Mailing Address - Fax:520-526-2976
Practice Address - Street 1:2900 N SWAN RD STE 102
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-6008
Practice Address - Country:US
Practice Address - Phone:520-232-3360
Practice Address - Fax:520-526-2976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty