Provider Demographics
NPI:1336861012
Name:CROWE, BECKY A (LPC)
Entity Type:Individual
Prefix:
First Name:BECKY
Middle Name:A
Last Name:CROWE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3944 N QUATAR CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80019-3656
Mailing Address - Country:US
Mailing Address - Phone:513-238-0748
Mailing Address - Fax:
Practice Address - Street 1:10 INVERNESS DR E STE 225
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-5652
Practice Address - Country:US
Practice Address - Phone:513-532-0365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-19
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
COLPC.0019375101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLTPMC4383OtherTELEHEALTH RIGHTS FOR FL