Provider Demographics
NPI:1932424827
Name:CROSBY, DOLORES (LPC)
Entity type:Individual
Prefix:
First Name:DOLORES
Middle Name:
Last Name:CROSBY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 MALVERN AVE STE 155
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901-6371
Mailing Address - Country:US
Mailing Address - Phone:501-304-4352
Mailing Address - Fax:501-701-4770
Practice Address - Street 1:1401 MALVERN AVE STE 155
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-6371
Practice Address - Country:US
Practice Address - Phone:501-304-4532
Practice Address - Fax:501-701-4770
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-02
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
ARP1311107101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty