Crouch, Audrey M
Crouch, Audrey M is an sole proprietor health care provider with primary practice located at 301 S Rogers St Ste 205 , Waxahachie TX 75165-3348. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Crouch, Audrey M can be contacted via phone (469) 297-0682.Contact Information
Primary practice address
301 S Rogers St Ste 205
Waxahachie TX 75165-3348
Phone: (469) 297-0682
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 11772 | Texas |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 80935 | Texas |
Profile Details
| NPI number | 1063017242 |
|---|---|
| LBN Legal business name | Crouch, Audrey M |
| Credentials | LPC, LCDC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 3rd, 2020 |
| Last updated | Nov 30th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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