Crossway Counsling LLC
Organization Active NPI Community/Behavioral Health Agency · Ravia, OK
NPI 1194122275 · NPPES record last updated Dec 4, 2014
Key facts
- NPI
- 1194122275
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- CROSSWAY COUNSLING LLC
- Practice address
- 9420 South Red Man Rd.
Ravia, OK 73455 - Phone
- (580) 371-7328
- NPI assigned
- Dec 4, 2014
- Organization subpart
- No
Authorized official
- Name
- Mrs. Kimberly Gilbert
- Title
- Office Assistant
- Phone
- (580) 371-9933
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Spartanburg Regional
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
9420 South Red Man Rd.
Ravia, OK 73455
Mailing address
9420 South Red Man Rd.
Ravia, OK 73455
Phone (580) 371-7328
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000 | Other | MEDICADE AND MEDICARE |
Other providers in Ravia, OK
All providers in Ravia, OK · Community/Behavioral Health Agency in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.