| Crossroads Therapy Practice Llc | |
|
21764 Omega Ct Goshen IN 46528-7809 | |
| (574) 747-7429 | |
| Not Available |
| Full Name | Crossroads Therapy Practice Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 21764 Omega Ct, Goshen, Indiana |
| Authorized Official Name and Position | Maranda Houser (OWNERSHIP) |
| Authorized Official Contact | 5747477429 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Therapy Practice Llc 23463 Greenwood Blvd Elkhart IN 46516-6140 Ph: () - | Crossroads Therapy Practice Llc 21764 Omega Ct Goshen IN 46528-7809 Ph: (574) 747-7429 |
| NPI Number | 1417546581 |
|---|---|
| Provider Enumeration Date | 01/13/2021 |
| Last Update Date | 01/13/2021 |
| Certification Date | 01/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417546581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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