Organization
CROSSBRIDGE COUNSELING LLC
Active
Other names
crossbridge
Organization subpart
No
Provider details
NPI number
Authorized official
RON MILLER PH.D (PRESIDENT)
(814) 882-5400
Entity
Organization
Contact information
Practice address
1040 EDGEWATER CORPORATE PKWY STE 101, INDIAN LAND, SC 29707-4526
(814) 882-5400
(866) 604-5401
Mailing address
9400 AVERY LILAC LN, INDIAN LAND, SC 29707-6921
(814) 882-5400
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
08/23/2023
Last updated
10/18/2023
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