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General NPI Number Information
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NPI Number | 1114647260
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Entity Type | Organization
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Legal Business Name | CROSS COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 08/30/2022
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 2712 MARKET TRCE UNIT 180164
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City | FORT SMITH
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State | AR
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Zip | 72918-7083
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Country | US
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Telephone | 539-867-3015
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Fax | 539-867-7080
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Provider Business Mailing Address
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Address Line | 2712 MARKET TRCE UNIT 180164
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City | FORT SMITH
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State | AR
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Zip | 72918-7083
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Country | US
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Telephone | 539-867-3015
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Fax | 539-867-7080
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Authorized Official
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Title or Position | LPC
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Name | DATONNA MICHELLE HIGGINS
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Credential |
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Telephone | 539-867-3015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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