Crossroads Counseling And Empowerment Services Llc | |
1005 Meadowbend Dr Leesburg FL 34748-7237 | |
(352) 661-5410 | |
Not Available |
Full Name | Crossroads Counseling And Empowerment Services Llc |
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Speciality | Social Worker |
Location | 1005 Meadowbend Dr, Leesburg, Florida |
Authorized Official Name and Position | Esther Leger-odom (OWNER) |
Authorized Official Contact | 3526615410 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Crossroads Counseling And Empowerment Services Llc 1005 Meadowbend Dr Leesburg FL 34748-7237 Ph: (352) 661-5410 | Crossroads Counseling And Empowerment Services Llc 1005 Meadowbend Dr Leesburg FL 34748-7237 Ph: (352) 661-5410 |
NPI Number | 1326645987 |
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Provider Enumeration Date | 10/07/2020 |
Last Update Date | 10/07/2020 |
Certification Date | 10/07/2020 |
Medicare PECOS PAC ID | 2264852615 |
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Medicare Enrollment ID | O20201023001043 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326645987 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Esther V Leger-odom |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1912164914 PECOS PAC ID: 2365780160 Enrollment ID: I20190220000945 |
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