Provider Demographics
NPI:1689485617
Name:CROSSLEY, JADA MICHELLE (MS, PLPC)
Entity type:Individual
Prefix:
First Name:JADA
Middle Name:MICHELLE
Last Name:CROSSLEY
Suffix:
Gender:F
Credentials:MS, PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 DEAN ST
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-4712
Mailing Address - Country:US
Mailing Address - Phone:337-534-1521
Mailing Address - Fax:
Practice Address - Street 1:121 S AUDUBON BLVD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2527
Practice Address - Country:US
Practice Address - Phone:337-484-1129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC10499101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health