| Crossroads Counseling Llc | |
|
2510 E 15th St Suite 11 Casper WY 82609-4111 | |
| (307) 277-2753 | |
| (307) 234-9989 |
| Full Name | Crossroads Counseling Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2510 E 15th St, Casper, Wyoming |
| Authorized Official Name and Position | Jeremiah Volk (SOLE PROVIDER) |
| Authorized Official Contact | 3072772753 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Counseling Llc 2510 E 15th St Suite 11 Casper WY 82609-4111 Ph: (307) 277-2753 | Crossroads Counseling Llc 2510 E 15th St Suite 11 Casper WY 82609-4111 Ph: (307) 277-2753 |
| NPI Number | 1346655164 |
|---|---|
| Provider Enumeration Date | 07/01/2014 |
| Last Update Date | 07/01/2014 |
| Medicare PECOS PAC ID | 1355730086 |
|---|---|
| Medicare Enrollment ID | O20211117002645 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346655164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2014-000665851 (Wyoming) | Primary |
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