# CROSSTOWN COUNSELING, PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356453211
- **Authorized official:** MARK W SMITH LICSW (OWNER)
- **Authorized official phone:** (612) 866-6100

## Contact information

- **Practice address:** 5939 PORTLAND AVE, MINNEAPOLIS, MN 55417-3127
- **Practice address phone:** (612) 866-6100
- **Practice address fax:** (612) 866-9379
- **Mailing address:** 5939 PORTLAND AVE, MINNEAPOLIS, MN 55417-3127
- **Mailing address phone:** (612) 866-6100
- **Mailing address fax:** (612) 866-9379

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | MN | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 03/17/2018