Provider Demographics
NPI:1558875112
Name:POINT BLANK COUNSELING PLLC
Entity Type:Organization
Organization Name:POINT BLANK COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:KAROLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAWSHAW
Authorized Official - Suffix:
Authorized Official - Credentials:MSC, NCC, LPC
Authorized Official - Phone:520-784-9385
Mailing Address - Street 1:5795 E FARMRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85756-9799
Mailing Address - Country:US
Mailing Address - Phone:520-338-2139
Mailing Address - Fax:
Practice Address - Street 1:5956 E. PIMA ST., STE 130
Practice Address - Street 2:C/O DR. GOLDMAN
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-8571
Practice Address - Country:US
Practice Address - Phone:520-784-9385
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-18
Last Update Date:2017-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-16316101Y00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty