Brandon M Crotty in Orlando - Addiction (substance Use Disorder)

Brandon M Crotty - NPI 1790862373

Brandon M Crotty is a Addiction (substance Use Disorder) in Orlando, Florida. Brandon M Crotty practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Brandon M Crotty is 1790862373. The last update date is 2007-07-08.

Brandon M Crotty's current location address is 2101 Park Center Drive, Orlando, Florida. You can contact this provider via phone number 4075231213 and fax number 4075232398. The mailing address for Brandon M Crotty is 2101 Park Center Drive, Orlando, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Brandon M Crotty
Address 2101 Park Center Drive, Orlando, Florida
Phone Number 4075231213
Fax Number 4075232398
Sole Proprietor N
Credentials LMHC LAP

NPI Number Detail

NPI Number 1790862373
Provider Enumeration Date 2006-11-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2101 Park Center Drive
City Orlando
State Florida (FL)
Post Code 32835
Phone Number 4075231213
Fax Number 4075232398

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 2588L
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
Z031H BCBS

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FAQs about Brandon M Crotty

What is the unique identifier code issued to Brandon M Crotty by the Centers for Medicare & Medicaid Services?

The Brandon M Crotty has been assigned the NPI (National Provider Identifier) 1790862373. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Brandon M Crotty?

The Brandon M Crotty is situated at 2101 Park Center Drive, in the city of Orlando, state of FL, with the zip code 32835.

What is the area of specialization for Brandon M Crotty, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Brandon M Crotty is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.

On what date did the Brandon M Crotty receive its 1790862373 assignment from the Centers for Medicare & Medicaid Services?

The Brandon M Crotty was assigned its 1790862373 by the Centers for Medicare & Medicaid Services on 2006-11-01.

When was the information related to Brandon M Crotty most recently updated or refreshed?

The details pertaining to the Brandon M Crotty, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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