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General NPI Number Information
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NPI Number | 1114155900
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Entity Type | Organization
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Legal Business Name | CROSSINGS HEALTH, LLC
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Dates
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Enumeration Date | 06/30/2009
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 412 HIGHTOWER RD
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City | GIRDWOOD
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State | AK
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Zip | 99587
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Country | US
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Telephone | 502-494-8249
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1132
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City | GIRDWOOD
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State | AK
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Zip | 99587-1132
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Country | US
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Telephone | 502-494-8249
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | JODIE R MENISH
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Credential | LCSW
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Telephone | 502-494-8249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 716
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License Number State | KY
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