Crossroads Health Systems LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CROSSROADS HEALTH SYSTEMS LLC

Practice address

3550 Westlake Ave
Jacksonville, FL 32206-2242

Phone

(336) 995-0365

NPI assigned

Jun 2, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Billie White

Title

Owner

Phone

(336) 995-0365

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1255789947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 COUNTRY CLUB RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271043604",
            "telephone_number": "336-995-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 WESTLAKE AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322062242",
            "telephone_number": "336-995-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS HEALTH SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BILLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-995-0365",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Michelle Crossley, ARNP
• Emily Laura Crossman, MD
• Crossroads Behavioral Health Services, LLC
• Crossroads Behavioral Health Services, LLC
• Crossroads Health & Wellness Center
• Mary Crotty
• Everett Cornish Crouch Jr., D.D.S.
• Stacy Crouch
• Brittany Estelle Crowder
• Elizabeth Ashley Crowder

• Community/Behavioral Health Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.