Provider Demographics
NPI:1780400432
Name:CREWS, SAVANNAH RAE (PLMHP)
Entity type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:RAE
Last Name:CREWS
Suffix:
Gender:F
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3350 10TH ST
Mailing Address - Street 2:
Mailing Address - City:GERING
Mailing Address - State:NE
Mailing Address - Zip Code:69341-1724
Mailing Address - Country:US
Mailing Address - Phone:308-635-3089
Mailing Address - Fax:
Practice Address - Street 1:3350 10TH ST
Practice Address - Street 2:
Practice Address - City:GERING
Practice Address - State:NE
Practice Address - Zip Code:69341-1724
Practice Address - Country:US
Practice Address - Phone:308-635-3089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-26
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE14029101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health