Titoni Levon Crenshaw
Addiction Counselor (Substance Use Disorder)
2825 S Crater Rd
Petersburg
, Virginia 23805-2473
Titoni Levon Crenshaw
Addiction Counselor (Substance Use Disorder)
2825 S Crater Rd
Petersburg
, Virginia 23805-2473
(804) 712-3546
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Titoni Levon Crenshaw
- 6985 Hearthside Dr
- Prince George, VA
- Zip : 23875-2663
- Phone : (804) 712-3546
Second Address
- Titoni Levon Crenshaw
- 2825 S Crater Rd
- Petersburg, VA
- Zip : 23805-2473
- Phone : (804) 712-3546
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | VA |
National Provider Identifier
| NPI | 1003415886 |
|---|---|
| Provider Name | Titoni Levon Crenshaw |
| First Address | Prince George, VA 23875-2663 |
| Second Address | Petersburg, VA 23805-2473 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/10/2020 |
| Last Update Date | 22/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.