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NPI 1164315545

NPI 1164315545 : CROSS WAY CHRISTIAN COUNSELING CENTER : ALMA, MI

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General NPI Number Information
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    NPI Number           |    1164315545
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    Entity Type          |    Organization 
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    Legal Business Name  |    CROSS WAY CHRISTIAN COUNSELING CENTER 
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Dates
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    Enumeration Date     |    06/02/2025
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    Last Update Date     |    01/07/2026
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Provider Practice Location Address
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    Address Line         |    302 PINE AVE 
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    City                 |    ALMA
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    State                |    MI
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    Zip                  |    48801-1813
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    Country              |    US
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    Telephone            |    989-535-0448
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2632 N ALGER RD 
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    City                 |    ALMA
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    State                |    MI
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    Zip                  |    48801-9645
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    Country              |    US
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    Telephone            |    989-763-1637
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. CHAD HOWARD BRYAN 
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    Credential           |    LPC
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    Telephone            |    989-763-1637
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    
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