| Gina Crucifissa Crowell, | |
|
2325 Armstrong Ave, Holmes, PA 19043-1001 | |
| (215) 687-2279 | |
| Not Available |
| Full Name | Gina Crucifissa Crowell |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2325 Armstrong Ave, Holmes, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699381335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC012453 (Pennsylvania) | Primary |
| Entity Name | Growth Opportunity Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649222761 PECOS PAC ID: 9335051085 Enrollment ID: O20031103000180 |
| Mailing Address | Practice Location Address |
|---|---|
| Gina Crucifissa Crowell, 499 North 5th Street, Suite D/e, Philadelphia, PA 19123-1001 Ph: () - | Gina Crucifissa Crowell, 2325 Armstrong Ave, Holmes, PA 19043-1001 Ph: (215) 687-2279 |
Christine Marie Sides, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 226 Stanbridge Rd, Holmes, PA 19043 Phone: 610-368-7102 | |
Mrs. Kimberly Lynn Brown, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 359 Cedar Ave, Holmes, PA 19043 Phone: 610-357-1527 | |
Caitlin Fedora, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2328 Armstrong Ave, Holmes, PA 19043 Phone: 610-733-1914 |