Healthcare Provider Details

I. General information

NPI: 1659867521
Provider Name (Legal Business Name): MARIRHETTA L CROSBY M.S., LIMFT, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARIRHETTA L CROSBY LIMFT, LPCC

II. Dates (important events)

Enumeration Date: 07/03/2018
Last Update Date: 06/20/2024
Certification Date: 06/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3659 GREEN RD STE 322-33
BEACHWOOD OH
44122-5727
US

IV. Provider business mailing address

3971 ARDMORE RD
CLEVELAND HEIGHTS OH
44121-2519
US

V. Phone/Fax

Practice location:
  • Phone: 216-245-8488
  • Fax:
Mailing address:
  • Phone: 216-903-2291
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberE.2404088
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE.2404088
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License NumberF.2400400
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberF.2400400
License Number StateOH
# 5
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License NumberE.2404088
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: