Crossroads Behavioral Health Services, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

1647519388801 Issued in FL

Legal business name

CROSSROADS BEHAVIORAL HEALTH SERVICES, LLC

Practice address

3107 Spring Glen Rd
Jacksonville, FL 32207-5916

Phone

(904) 302-9929

NPI assigned

Sep 12, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Valerie Wright

Title

Owner

Phone

(904) 302-9929

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473638400000",
    "number": "1194273839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 SPRING GLEN RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075916",
            "telephone_number": "904-302-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 SPRING GLEN RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075916",
            "telephone_number": "904-302-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-12",
        "last_updated": "2016-09-12",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-302-9929"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "1647519388801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Michelle Cross, CRNA
• Tyrenia Octavia Cross, LMHC
• Sandra Jean Crossen, ARNP
• Amber Michelle Crossley, ARNP
• Emily Laura Crossman, MD
• Crossroads Behavioral Health Services, LLC
• Crossroads Health & Wellness Center
• Crossroads Health Systems LLC
• Mary Crotty
• Everett Cornish Crouch Jr., D.D.S.

• Case Management Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.