| Crossroads Consulting International Llc | |
|
8930 Se Bridge Rd Hobe Sound FL 33455-5311 | |
| (772) 675-2110 | |
| (772) 675-2264 |
| Full Name | Crossroads Consulting International Llc |
|---|---|
| Speciality | Counselor |
| Location | 8930 Se Bridge Rd, Hobe Sound, Florida |
| Authorized Official Name and Position | Debra Lawrence (OFFICIAL) |
| Authorized Official Contact | 7726752110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Consulting International Llc 8930 Se Bridge Rd Hobe Sound FL 33455-5311 Ph: (772) 675-2110 | Crossroads Consulting International Llc 8930 Se Bridge Rd Hobe Sound FL 33455-5311 Ph: (772) 675-2110 |
| NPI Number | 1184089096 |
|---|---|
| Provider Enumeration Date | 12/18/2015 |
| Last Update Date | 10/18/2019 |
| Medicare PECOS PAC ID | 5799062154 |
|---|---|
| Medicare Enrollment ID | O20170512000429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184089096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2015-125-0972 (Florida) | Primary |
| Provider Name | Debra S Lawrence |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366583775 PECOS PAC ID: 5890062939 Enrollment ID: I20170619001349 |
| Provider Name | Melinda R Nemiroff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730363409 PECOS PAC ID: 8527335660 Enrollment ID: I20170619001496 |
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