MALISSA TRUESDALE-CRAWFORD LPC NPI 1598433807

NPI Information

NPI: 1598433807
Provider Name: MALISSA TRUESDALE-CRAWFORD, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
104 WAXHAW PROFESSIONAL PARK DR STE D
WAXHAW, NC
ZIP 28173
Phone: (980) 368-0323
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Malissa Truesdale-crawford, LPC is a mental health counselor in Waxhaw, NC. Malissa Truesdale-crawford, LPC NPI is 1598433807. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

104 WAXHAW PROFESSIONAL PARK DR STE D
WAXHAW, NC
ZIP 28173-020
Phone: (980) 368-0323

The enumeration date for this NPI number is 9/1/2021 and was last updated on 11/1/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	A17097	NORTH CAROLINA	No
2	101YM0800X	Counselor	Mental Health	9097	SOUTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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