MEDICARE: CROSSROADS COUNSELING AND COACHING, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1285583047
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CROSSROADS COUNSELING AND COACHING, PLLC

Provider Business Mailing Address
First Line	:	8033 CORPORATE CENTER DR STE 400
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-4549
Country	:	US
Telephone Number	:	704-251-0290
Fax Number	:

Provider Business Practice Location Address
First Line	:	8033 CORPORATE CENTER DR STE 400
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-4549
Country	:	US
Telephone Number	:	704-251-0290
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DANIEL CROW
Credential	:	PH.D.
Telephone Number	:	608-215-2957

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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