# CROSSROAD TO CHANGE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457122830
- **Authorized official:** NEONA K RUSS LCPC (OWNER)
- **Authorized official phone:** (660) 924-2425

## Contact information

- **Practice address:** 5201 JOHNSON DR STE 305, MISSION, KS 66205-2920
- **Practice address phone:** (660) 924-2425
- **Practice address fax:** (913) 229-7511
- **Mailing address:** 5201 JOHNSON DR STE 305, MISSION, KS 66205-2920
- **Mailing address phone:** (660) 924-2425
- **Mailing address fax:** (913) 229-7511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 01/12/2024
- **Last updated:** 01/12/2024