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General NPI Number Information
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NPI Number | 1245857598
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Entity Type | Organization
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Legal Business Name | CROSSROADS THERAPY AND COUNSELING INC
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Dates
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Enumeration Date | 07/02/2020
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Last Update Date | 02/09/2024
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Provider Practice Location Address
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Address Line | 473 CARRIAGE HOUSE LN
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City | TARPON SPRINGS
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State | FL
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Zip | 34688-7251
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Country | US
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Telephone | 813-695-7894
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Fax |
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Provider Business Mailing Address
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Address Line | 473 CARRIAGE HOUSE LN
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City | TARPON SPRINGS
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State | FL
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Zip | 34688-7251
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Country | US
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Telephone | 813-695-7894
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Fax |
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Authorized Official
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Title or Position | THERAPIST/CO-OWNER
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Name | DR. RONALD M WOOD
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Credential | PSY.D, M.DIV, LMHC
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Telephone | 813-695-7894
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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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