| Crossroads Therapy Pllc | |
|
600 22nd Ave Nw Ste 2 Minot ND 58703-0986 | |
| (701) 818-7727 | |
| Not Available |
| Full Name | Crossroads Therapy Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 600 22nd Ave Nw Ste 2, Minot, North Dakota |
| Authorized Official Name and Position | Brenna Lynn Thompson (LICENSED CLINICAL SOCIAL WORKER/OWN) |
| Authorized Official Contact | 7018187727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Therapy Pllc 1816 7th St Nw Minot ND 58703-1315 Ph: (701) 818-7727 | Crossroads Therapy Pllc 600 22nd Ave Nw Ste 2 Minot ND 58703-0986 Ph: (701) 818-7727 |
| NPI Number | 1164064341 |
|---|---|
| Provider Enumeration Date | 10/09/2019 |
| Last Update Date | 10/09/2019 |
| Medicare PECOS PAC ID | 8820421761 |
|---|---|
| Medicare Enrollment ID | O20191206000028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164064341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Brenna Lynn Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770063638 PECOS PAC ID: 9739512674 Enrollment ID: I20191206000042 |
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