| Crossroads Counseling And Life Coaching Llc | |
|
575 N Kellogg St Suite 4 Galesburg IL 61401-7608 | |
| (309) 343-0800 | |
| (309) 343-0802 |
| Full Name | Crossroads Counseling And Life Coaching Llc |
|---|---|
| Speciality | Counselor |
| Location | 575 N Kellogg St, Galesburg, Illinois |
| Authorized Official Name and Position | Rebecca S. Mowers (CO-OWNER) |
| Authorized Official Contact | 3093430800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Counseling And Life Coaching Llc 575 N Kellogg St Suite 4 Galesburg IL 61401-7608 Ph: (309) 343-0800 | Crossroads Counseling And Life Coaching Llc 575 N Kellogg St Suite 4 Galesburg IL 61401-7608 Ph: (309) 343-0800 |
| NPI Number | 1255593315 |
|---|---|
| Provider Enumeration Date | 06/30/2008 |
| Last Update Date | 10/11/2016 |
| Medicare PECOS PAC ID | 9436473162 |
|---|---|
| Medicare Enrollment ID | O20150128001192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255593315 | NPI | - | NPPES |
| Provider Name | David A Priddy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669416749 PECOS PAC ID: 8123027133 Enrollment ID: I20061220000069 |
| Provider Name | Kristen E Cree |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548518244 PECOS PAC ID: 4981845922 Enrollment ID: I20130802000314 |
| Provider Name | Rebecca Sue Mowers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801010509 PECOS PAC ID: 9133443864 Enrollment ID: I20150604000025 |
| Provider Name | Mark Allen Calvert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790897270 PECOS PAC ID: 7618329392 Enrollment ID: I20240118000796 |
| Provider Name | Deborah Gail Hunt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497083182 PECOS PAC ID: 0244683647 Enrollment ID: I20240201003001 |
| Provider Name | Rhett Bartlett Butler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972005825 PECOS PAC ID: 8729422175 Enrollment ID: I20240214000823 |
| Provider Name | Lindsay J Peachey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598989204 PECOS PAC ID: 0143544874 Enrollment ID: I20240214002735 |
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