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Organization
S. NICOLE CRAWFORD, LCSW, PLLC
Active
Organization
S. NICOLE CRAWFORD, LCSW, PLLC
Active
Other names
SNC Therapeutic Services
Organization subpart
No
Provider details
NPI number
Authorized official
SEDETRIA SUMERALL LCSW (OWNER)
(502) 777-2404
Entity
Organization
Contact information
Practice address
3715 BARDSTOWN RD STE 300, LOUISVILLE, KY 40218-2268
(502) 777-2404
(888) 607-7352
Mailing address
11135 FANTASY TRL, LOUISVILLE, KY 40229-5514
(502) 777-2404
(888) 607-7352
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
01/09/2020
Last updated
11/02/2023
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