MEDICARE: CROSSROADS SOLUTIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1689517930
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CROSSROADS SOLUTIONS

Provider Business Mailing Address
First Line	:	1407 LAPEER AVE
Second Line	:
City	:	PORT HURON
State	:	MI
Zip	:	48060-4267
Country	:	US
Telephone Number	:	810-292-7274
Fax Number	:

Provider Business Practice Location Address
First Line	:	1042 GRISWOLD ST STE 4
Second Line	:
City	:	PORT HURON
State	:	MI
Zip	:	48060-5868
Country	:	US
Telephone Number	:	810-300-2226
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MONICA E WOROBI
Credential	:
Telephone Number	:	810-292-7274

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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Directions to “CROSSROADS SOLUTIONS ” Practice Location

Language	Start Address	Practice Location

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