| David L Crenshaw Lmft Lcas Pllc | |
|
1606 Wellington Ave Ste H Wilmington NC 28401-7704 | |
| (910) 793-6144 | |
| (910) 793-6140 |
| Full Name | David L Crenshaw Lmft Lcas Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1606 Wellington Ave Ste H, Wilmington, North Carolina |
| Authorized Official Name and Position | David L Crenshaw (OWNER) |
| Authorized Official Contact | 9108272445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David L Crenshaw Lmft Lcas Pllc 4008 Halliburton Cv Leland NC 28451-3502 Ph: (910) 827-2445 | David L Crenshaw Lmft Lcas Pllc 1606 Wellington Ave Ste H Wilmington NC 28401-7704 Ph: (910) 793-6144 |
| NPI Number | 1851750889 |
|---|---|
| Provider Enumeration Date | 02/18/2016 |
| Last Update Date | 02/18/2016 |
| Medicare PECOS PAC ID | 0749628337 |
|---|---|
| Medicare Enrollment ID | O20240402001134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851750889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 525 (North Carolina) | Primary |
| Provider Name | David Lee Crenshaw |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396871976 PECOS PAC ID: 4284072885 Enrollment ID: I20240402001329 |
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