Healthcare Provider Details

I. General information

NPI: 1164315545
Provider Name (Legal Business Name): CROSS WAY CHRISTIAN COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2025
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 PINE AVE
ALMA MI
48801-1813
US

IV. Provider business mailing address

2632 N ALGER RD
ALMA MI
48801-9645
US

V. Phone/Fax

Practice location:
  • Phone: 989-535-0448
  • Fax:
Mailing address:
  • Phone: 989-763-1637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. CHAD HOWARD BRYAN
Title or Position: OWNER
Credential: LPC
Phone: 989-763-1637