Individual provider · Type 1 NPI
Anicklette O. Crumbley, LPC
Mental Health Counselor · Pelham, GA
NPI number
1225327679
Active
Practice location
2289 Old Thomasville Rd
Pelham, GA 31779-5832
Mailing address
4002 Highway 78 W Ste 530-112
Snellville, GA 30039-7915
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 188799 (AK) |
| Professional Counselor | 101YP2500X | LPC006240 (GA) |
Mental Health Counselor: Definition to come...
About NPI 1225327679
Anicklette O. Crumbley, LPC's National Provider Identifier is 1225327679, issued on Apr 6, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pelham, GA. The record was last updated on Jun 29, 2026.