Provider Demographics
NPI:1205638848
Name:KEITH CROSBY LLC
Entity type:Organization
Organization Name:KEITH CROSBY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:C
Authorized Official - Last Name:CROSBY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:908-271-8437
Mailing Address - Street 1:44 RYMON RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07882-4033
Mailing Address - Country:US
Mailing Address - Phone:908-271-8437
Mailing Address - Fax:
Practice Address - Street 1:44 RYMON RD
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07882-4033
Practice Address - Country:US
Practice Address - Phone:908-271-8437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-25
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health