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Organization
CROSSROADSTN LLC
Active
Organization
CROSSROADSTN LLC
Active
Other names
Crossroads Mental Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS KOBLER M.S. L.P.C. (OWNER)
(865) 805-2527
Entity
Organization
Contact information
Practice address
10426 JACKSON OAKS WAY STE 201, KNOXVILLE, TN 37922-0709
(865) 805-2575
Mailing address
2161 PEWTER DR, KNOXVILLE, TN 37909-1085
(865) 805-2575
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003204496
COUNSELING
TN
Enumeration date
03/14/2021
Last updated
05/27/2021
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