| Doctor Name: | TERRY L. CRIMM |
| NPI Number: | 1194046276 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.MIN.; LMFT; LPC |
| License Number: | 1642 |
| Business Practice Address: | 1021 Maxwell Mill Rd Suite D-2 Fort Mill, SC - 297088093 |
| Business Phone Number: | 8035484673 |
| Business Fax Number: | |
| Mailing Address: | 208 Edgewater Way, FORT MILL |
| State: | SC |
| Postal Code: | 297086953 |
| Phone Number: | 8035486155 |
| Fax Number: | |
| NPI Enumeration Date: | 06/12/2010 |
| NPI Last Update Date: | 06/12/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 1642 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |