Healthcare Provider Details

I. General information

NPI: 1255266698
Provider Name (Legal Business Name): HANNAH L CROSSETT LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 REFLECTION CV
JACKSON TN
38305-5732
US

IV. Provider business mailing address

24 REFLECTION CV
JACKSON TN
38305-5732
US

V. Phone/Fax

Practice location:
  • Phone: 731-234-6711
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2025020613
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number8292
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: