| Crossroads Therapy, Llc | |
|
4244 Potomac Walk Ct Loganville GA 30052-8847 | |
| (770) 624-6572 | |
| Not Available |
| Full Name | Crossroads Therapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4244 Potomac Walk Ct, Loganville, Georgia |
| Authorized Official Name and Position | Lynette Clark (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7703397667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Therapy, Llc 4244 Potomac Walk Ct Loganville GA 30052-8847 Ph: (770) 624-6572 | Crossroads Therapy, Llc 4244 Potomac Walk Ct Loganville GA 30052-8847 Ph: (770) 624-6572 |
| NPI Number | 1528643939 |
|---|---|
| Provider Enumeration Date | 03/17/2021 |
| Last Update Date | 03/17/2021 |
| Certification Date | 03/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528643939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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