| Crossroads 1010 Llc | |
|
193908 Us Hwy 271 Antlers OK 74523 | |
| (580) 271-7080 | |
| (580) 298-2081 |
| Full Name | Crossroads 1010 Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 193908 Us Hwy 271, Antlers, Oklahoma |
| Authorized Official Name and Position | Jennifer Griffin (OWNER) |
| Authorized Official Contact | 5803177002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads 1010 Llc P.o. Bo 1012 Antlers OK 74523 Ph: (580) 271-7080 | Crossroads 1010 Llc 193908 Us Hwy 271 Antlers OK 74523 Ph: (580) 271-7080 |
| NPI Number | 1174072482 |
|---|---|
| Provider Enumeration Date | 09/27/2016 |
| Last Update Date | 11/27/2018 |
| Medicare PECOS PAC ID | 5092156596 |
|---|---|
| Medicare Enrollment ID | O20240515002291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174072482 | NPI | - | NPPES |
| 200734990A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Jennifer D Hill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881921906 PECOS PAC ID: 0446691943 Enrollment ID: I20240618002756 |
| Provider Name | Kimberly J Price |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689953853 PECOS PAC ID: 7810430873 Enrollment ID: I20240618002917 |
| Provider Name | Linda Eskue |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558698662 PECOS PAC ID: 7517400583 Enrollment ID: I20240618003391 |
| Provider Name | Carrie R Akard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184965790 PECOS PAC ID: 5193268175 Enrollment ID: I20240618003720 |
| Provider Name | Jenny Noel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316213853 PECOS PAC ID: 4486197464 Enrollment ID: I20240618004032 |
| Provider Name | Carra L Burrage |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427308451 PECOS PAC ID: 0446793434 Enrollment ID: I20240618004208 |
| Provider Name | Courtney Janoe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104162296 PECOS PAC ID: 2769926278 Enrollment ID: I20240625004283 |
Quest Mhsa, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 W Main St, Antlers, OK 74523 Phone: 580-298-3001 | |
Brighter Heights Oklahoma, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 S High St, Antlers, OK 74523 Phone: 580-298-2830 | |
Brighter Heights Oklahoma, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 S High St, Antlers, OK 74523 Phone: 580-298-2830 | |