Provider Demographics
NPI:1205582202
Name:CROWLEY, AUGUST JAY
Entity type:Individual
Prefix:MR
First Name:AUGUST
Middle Name:JAY
Last Name:CROWLEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:MICHELLE
Other - Last Name:CROWLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7365 22ND AVE
Mailing Address - Street 2:
Mailing Address - City:JENISON
Mailing Address - State:MI
Mailing Address - Zip Code:49428
Mailing Address - Country:US
Mailing Address - Phone:248-302-3857
Mailing Address - Fax:517-323-9531
Practice Address - Street 1:2905 WILSON AVE SW
Practice Address - Street 2:ST. 252
Practice Address - City:GRANDVILLE
Practice Address - State:MI
Practice Address - Zip Code:49418
Practice Address - Country:US
Practice Address - Phone:616-201-2556
Practice Address - Fax:517-323-9531
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-28
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty