# CROSSROADS WELLNESS, LLC

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

## Provider details

- **NPI number:** 1831411149
- **Authorized official:** DR. CHAD LEE CROSS PHD (MANAGING MEMBER)
- **Authorized official phone:** (702) 480-4891

## Contact information

- **Practice address:** 7465 W LAKE MEAD BLVD, STE 100, LAS VEGAS, NV 89128-1032
- **Practice address phone:** (702) 480-4891
- **Practice address fax:** (702) 562-1221
- **Mailing address:** 7465 W LAKE MEAD BLVD, STE 100, LAS VEGAS, NV 89128-1032
- **Mailing address phone:** (702) 480-4891
- **Mailing address fax:** (702) 562-1221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 125-LC | NV | — |
| 106H00000X | Marriage & Family Therapist | 1117 | NV | Yes |

## Other

- **Enumeration date:** 03/01/2010
- **Last updated:** 01/20/2011
