Healthcare Provider Details

I. General information

NPI: 1952705444
Provider Name (Legal Business Name): COUNTRY CROSSROADS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2014
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

441 NW HWY W
KINGSVILLE MO
64061
US

IV. Provider business mailing address

P.O. BOX 114
LONE JACK MO
64070
US

V. Phone/Fax

Practice location:
  • Phone: 816-308-0246
  • Fax: 816-566-0486
Mailing address:
  • Phone: 816-308-0246
  • Fax: 816-566-0486

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. SUSIE ARBO
Title or Position: OWNER OF COUNTRY CROSSROADS COUNSEL
Credential: MS, LPC, CRAPC
Phone: 507-530-3269