Organization
CROSSROADS PSYCHOLOGY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIKKI TAYLOR (OFFICE MANAGER)
(229) 388-0932
Entity
Organization
Contact information
Practice address
1017 CENTRAL AVE N, TIFTON, GA 31794-3967
(229) 388-0932
(229) 388-0933
Mailing address
PO BOX 2707, TIFTON, GA 31793-2707
(229) 388-0932
(229) 388-0933
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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