Organization
CROSSROADS COUNSELING, INC
Active
Organization
CROSSROADS COUNSELING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM E KNECHT (DIRECTOR)
(570) 323-7535
Entity
Organization
Contact information
Practice address
8 NORTH GROVE STREET, SUITE FOUR, LOCK HAVEN, PA 17745
(570) 893-1886
(570) 893-1850
Mailing address
501 EAST THIRD STREET, WILLIAMSPORT, PA 17701
(570) 323-7535
(570) 323-3790
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
187037
PA
251K00000X
Public Health or Welfare Agency
187037
PA
251S00000X
Community/Behavioral Health Agency
Primary
187037
PA
261Q00000X
Clinic/Center
187037
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007434200004
—
PA
05
—
1007434200006
—
PA
05
—
1007434200009
—
PA
01
—
999029
BC/BS PROVIDER #
PA
Enumeration date
10/03/2006
Last updated
05/31/2023
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