| Crossroads Counseling Services, Llc | |
|
224 S Broadway St Stanley WI 54768-1011 | |
| (715) 644-4357 | |
| (715) 644-5053 |
| Full Name | Crossroads Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 224 S Broadway St, Stanley, Wisconsin |
| Authorized Official Name and Position | Karen J Koltis (OWNER AND DIRECTOR) |
| Authorized Official Contact | 7156444357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Counseling Services, Llc 224 S Broadway St Stanley WI 54768-1011 Ph: (715) 644-4357 | Crossroads Counseling Services, Llc 224 S Broadway St Stanley WI 54768-1011 Ph: (715) 644-4357 |
| NPI Number | 1134291271 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134291271 | NPI | - | NPPES |
| 42218300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2219 (Wisconsin) | Primary |
| 101YM0800X | Counselor - Mental Health | 2219 (Wisconsin) | Primary |