# CROSSING WATERS, LLC

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

## Provider details

- **NPI number:** 1477958213
- **Authorized official:** DR. CYNTHIA R FITZSIMMONS PSY.D. (OWNER/PSYCHOLOGIST)
- **Authorized official phone:** (864) 546-0217

## Contact information

- **Practice address:** 1 CHICK SPRINGS RD, SUITE 215, GREENVILLE, SC 29609
- **Practice address phone:** (864) 546-0217
- **Mailing address:** 9 WOODLAND LN, GREENVILLE, SC 29615
- **Mailing address phone:** (864) 546-0217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/22/2014
- **Last updated:** 10/22/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | PS0469 | — | SC |