Provider Demographics
NPI:1003039512
Name:CROSSWHITE, AMY LYNNE (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:LYNNE
Last Name:CROSSWHITE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:AMY
Other - Middle Name:LYNNE
Other - Last Name:LOVELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:305 COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37683-1301
Mailing Address - Country:US
Mailing Address - Phone:423-460-1555
Mailing Address - Fax:423-644-0090
Practice Address - Street 1:305 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:MOUNTAIN CITY
Practice Address - State:TN
Practice Address - Zip Code:37683-1301
Practice Address - Country:US
Practice Address - Phone:423-460-1555
Practice Address - Fax:423-644-0090
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
TN1157106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health