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NPI Code Detail

MEDICARE: DIONNE CROSBY-SMITH LPC

MEDICARE: DIONNE CROSBY-SMITH LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor5306LA
2101YP2500XProfessional Counselor
3171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1841745569
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIONNE CROSBY-SMITH LPC
Provider Business Mailing Address
First Line : 711 COLONIAL DR STE D
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-6549
Country : US
Telephone Number : 225-246-2162
Fax Number : 225-300-4797
Provider Business Practice Location Address
First Line : 711 COLONIAL DR STE D
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-6549
Country : US
Telephone Number : 225-246-2162
Fax Number : 225-300-4797
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2016
Last Update Date : 05/13/2019

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Directions to “ DIONNE CROSBY-SMITH LPC” Practice Location

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