Healthcare Provider Details

I. General information

NPI: 1841745569
Provider Name (Legal Business Name): DIONNE CROSBY-SMITH LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2016
Last Update Date: 05/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 COLONIAL DR STE D
BATON ROUGE LA
70806-6549
US

IV. Provider business mailing address

711 COLONIAL DR STE D
BATON ROUGE LA
70806-6549
US

V. Phone/Fax

Practice location:
  • Phone: 225-246-2162
  • Fax: 225-300-4797
Mailing address:
  • Phone: 225-246-2162
  • Fax: 225-300-4797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number5306
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: