Provider Demographics
NPI:1689183493
Name:CROSSBEAM COUNSELING CENTERS
Entity Type:Organization
Organization Name:CROSSBEAM COUNSELING CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEANGELA
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:GEE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:910-491-6011
Mailing Address - Street 1:1017 HOPE MILLS RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-4234
Mailing Address - Country:US
Mailing Address - Phone:910-491-6011
Mailing Address - Fax:910-491-6967
Practice Address - Street 1:1017 HOPE MILLS RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-4234
Practice Address - Country:US
Practice Address - Phone:910-491-6011
Practice Address - Fax:910-491-6967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 1041C0700X, 106H00000X, 163WP0808X, 2084P0800X, 225700000X, 261QM0801X, 261QM0855X
NC101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC507481OtherTRICARE
NC846813OtherMILITARY ONE SOURCE
NC507481OtherMHN
NC846813OtherBEACON/VALUE OPTIONS