Crossroads Therapeutic Services, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

6702499-3902 Issued in UT

Legal business name

CROSSROADS THERAPEUTIC SERVICES, LLC

Practice address

230 W Towne Ridge Pkwy Ste 225
Sandy, UT 84070-2113

Phone

(801) 707-7938

NPI assigned

Jun 4, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Terrance Alonzo, DMFT, LMFT, CFLE

Title

Owner

Phone

(801) 707-7938

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1710325477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W TOWNE RIDGE PKWY STE 225",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702113",
            "telephone_number": "801-707-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W TOWNE RIDGE PKWY STE 225",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702113",
            "telephone_number": "801-707-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-04",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "ALONZO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "TERRANCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-707-7938",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMFT, LMFT, CFLE"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "6702499-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.