| Crossroads Counseling Solutions | |
|
110 S Lombard St Mahomet IL 61853-9202 | |
| (217) 586-9999 | |
| (217) 590-0174 |
| Full Name | Crossroads Counseling Solutions |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 110 S Lombard St, Mahomet, Illinois |
| Authorized Official Name and Position | Marianne Carrara-hay (PRESIDENT) |
| Authorized Official Contact | 2175869999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Counseling Solutions 110 S Lombard St Mahomet IL 61853-9202 Ph: (217) 586-9999 | Crossroads Counseling Solutions 110 S Lombard St Mahomet IL 61853-9202 Ph: (217) 586-9999 |
| NPI Number | 1497134738 |
|---|---|
| Provider Enumeration Date | 05/19/2015 |
| Last Update Date | 05/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497134738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 149008892 (Illinois) | Primary |
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