Miss Anicklette O Crumbley, LPC is a
Counselor - Professional based in Pelham, Georgia. Miss Anicklette O Crumbley is licensed to practice in Georgia (license number LPC006240) and her current practice location is
2289 Old Thomasville Rd, Pelham, Georgia. She can be reached at her office (for appointments etc.) via phone at
(678) 499-5669.
NPI number for Miss Anicklette O Crumbley is 1225327679 and her current mailing address is 4002 Highway 78 W Ste 530-112, Snellville, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225327679.
Healthcare Provider's Profile
Full Name | Miss Anicklette O Crumbley |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 2289 Old Thomasville Rd, Pelham, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225327679
- Provider Enumeration Date: 04/06/2011
- Last Update Date: 06/12/2025
Medical Identifiers
Medical identifiers for Miss Anicklette O Crumbley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225327679 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | LPC006240 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Anicklette O Crumbley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miss Anicklette O Crumbley, LPC 4002 Highway 78 W Ste 530-112, Snellville, GA 30039-7915 Ph: (678) 499-5669 | Miss Anicklette O Crumbley, LPC 2289 Old Thomasville Rd, Pelham, GA 31779-5832 Ph: (678) 499-5669 |
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