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PAUL CROLLEY LPC
NPI 1407479009
Counselor - Mental Health in Myrtle Beach, SC

Active since May 19, 2020
2860 ETON ST, MYRTLE BEACH, SC 29579(404) 617-9499 Get Directions Write a Review

NPPES record last updated: May 19, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Paul Crolley Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL CROLLEY LPC (NPI 1407479009) is an individual mental health provider in Myrtle Beach, South Carolina, licensed in Georgia (LPC007980) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1407479009
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NamePAUL CROLLEYCredential: LPC
Location Address2860 ETON STMyrtle Beach, SC 29579-6711
Mailing Address2860 Eton StMyrtle Beach, SC 29579-6711 · (404) 617-9499
Phone(404) 617-9499
Sole ProprietorYes
Enumeration DateMay 19, 2020
NPPES CertifiedMay 19, 2020
✔ NPI 1407479009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in GA · LPC007980
2860 ETON ST, Myrtle Beach, SC 29579
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Crolley's NPI number?

The NPI number for Paul Crolley is 1407479009. It was assigned to this individual provider in the NPPES registry on May 19, 2020.

Where is Paul Crolley located?

Paul Crolley practices at 2860 Eton St, Myrtle Beach, SC 29579. The listed phone number is (404) 617-9499.

What is Paul Crolley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Paul Crolley was last updated on May 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.