# CANDACE CREW LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639933153
- **Authorized official:** CANDACE CREW LCSW-C (CLINICAL THERAPIST)
- **Authorized official phone:** (443) 804-2583

## Contact information

- **Practice address:** 4500 BLACK ROCK RD STE 103, HAMPSTEAD, MD 21074-2649
- **Practice address phone:** (443) 804-2583
- **Mailing address:** 2801 MATTINGLY DR, MANCHESTER, MD 21102-1880
- **Mailing address phone:** (443) 804-2583

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 02/06/2024
- **Last updated:** 02/06/2024