# CROSSROADS THERAPY LLC

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

## Provider details

- **NPI number:** 1679642672
- **Authorized official:** MR. MARK F WARCHOL LMSW LMFT (OWNER OPERATOR)
- **Authorized official phone:** (586) 226-1991

## Contact information

- **Practice address:** 16950 19 MILE RD, SUITE 3A, CLINTON TWP, MI 48038
- **Practice address phone:** (586) 226-1991
- **Practice address fax:** (586) 286-1138
- **Mailing address:** PO BOX 380452, CLINTON TWP, MI 48038-0065
- **Mailing address phone:** (586) 226-1991
- **Mailing address fax:** (586) 286-1138

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | 6801060259 | MI | — |
| 106H00000X | Marriage & Family Therapist | 4101006085 | MI | Yes |

## Other

- **Enumeration date:** 11/06/2006
- **Last updated:** 09/11/2025