Healthcare Provider Details

I. General information

NPI: 1780283523
Provider Name (Legal Business Name): CROSBY SWANSON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CROSBY SKIPPER

II. Dates (important events)

Enumeration Date: 10/22/2020
Last Update Date: 12/06/2024
Certification Date: 12/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 W 9TH ST STE 203
SIOUX FALLS SD
57104-3667
US

IV. Provider business mailing address

2000 S SUMMIT AVE
SIOUX FALLS SD
57105-2727
US

V. Phone/Fax

Practice location:
  • Phone: 605-550-2655
  • Fax: 605-305-3192
Mailing address:
  • Phone: 605-353-4923
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC20562
License Number StateSD
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number20562
License Number StateSD
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC20562
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: