Provider Demographics
NPI:1144580283
Name:CROSSLAND, HELEN (LCSW)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:CROSSLAND
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2028 82ND ST UNIT 101
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-2392
Mailing Address - Country:US
Mailing Address - Phone:806-239-6386
Mailing Address - Fax:
Practice Address - Street 1:2028 82ND ST UNIT 101
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-2392
Practice Address - Country:US
Practice Address - Phone:806-239-6386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-23
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX382801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical