| Crosspoint Counseling Services | |
|
1800 Shiloh Rd Ste 301 Tyler TX 75703-2456 | |
| (903) 871-5017 | |
| Not Available |
| Full Name | Crosspoint Counseling Services |
|---|---|
| Speciality | Counselor |
| Location | 1800 Shiloh Rd Ste 301, Tyler, Texas |
| Authorized Official Name and Position | Gary Wade Mcdonald (MANAGING MEMBER) |
| Authorized Official Contact | 9035709319 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crosspoint Counseling Services 1820 Shiloh Rd Ste 1101 Tyler TX 75703-2458 Ph: (903) 871-5017 | Crosspoint Counseling Services 1800 Shiloh Rd Ste 301 Tyler TX 75703-2456 Ph: (903) 871-5017 |
| NPI Number | 1205252020 |
|---|---|
| Provider Enumeration Date | 03/17/2014 |
| Last Update Date | 05/23/2024 |
| Certification Date | 05/23/2024 |
| Medicare PECOS PAC ID | 5597107896 |
|---|---|
| Medicare Enrollment ID | O20240531000145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205252020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Gary Wade Mcdonald |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841537727 PECOS PAC ID: 8820435670 Enrollment ID: I20240531000214 |
| Provider Name | Raymond Perales Martinez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053734129 PECOS PAC ID: 7719329028 Enrollment ID: I20240531000377 |
| Provider Name | Arlene Kay Mcdonald |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134803810 PECOS PAC ID: 3173965225 Enrollment ID: I20240531001799 |
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