Healthcare Provider Details

I. General information

NPI: 1891600292
Provider Name (Legal Business Name): CROSS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 11TH AVE S STE 204
NAMPA ID
83651-5074
US

IV. Provider business mailing address

10592 HOT SPRINGS AVE
NAMPA ID
83687-5770
US

V. Phone/Fax

Practice location:
  • Phone: 208-603-4656
  • Fax: 208-228-8688
Mailing address:
  • Phone: 208-603-4656
  • Fax: 208-228-8688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. STEPHANIE CROSS
Title or Position: OWNER/COUNSELOR
Credential:
Phone: 208-603-4656