Organization
CROSSROADS THERAPY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARANDA HOUSER LCSW (OWNERSHIP)
(574) 747-7429
Entity
Organization
Contact information
Practice address
21764 OMEGA CT, GOSHEN, IN 46528-7809
(574) 747-7429
Mailing address
23463 GREENWOOD BLVD, ELKHART, IN 46516-6140
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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