Provider Demographics
NPI:1922812379
Name:CROWLEY, BRANDON E (LPC)
Entity type:Individual
Prefix:
First Name:BRANDON
Middle Name:E
Last Name:CROWLEY
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5470 ANCHORS WAY
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TWP
Mailing Address - State:OH
Mailing Address - Zip Code:45011-2886
Mailing Address - Country:US
Mailing Address - Phone:513-257-5018
Mailing Address - Fax:
Practice Address - Street 1:4055 EXECUTIVE PARK DR STE 210
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45241-4019
Practice Address - Country:US
Practice Address - Phone:513-298-9296
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.2506837101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health