Organization
CROSSROADS ADDICTION RECOVERY EFFORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANELLE WHITE (CEO/OWNER)
(606) 422-9330
Entity
Organization
Contact information
Practice address
255 CHURCH ST STE 102, PIKEVILLE, KY 41501-3476
(606) 637-2273
(606) 637-7849
Mailing address
PO BOX 217, BETSY LAYNE, KY 41605-0217
(606) 637-2273
(606) 637-7849
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
175T00000X
Peer Specialist
—
—
207Q00000X
Family Medicine Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100416980
—
KY
Enumeration date
01/28/2016
Last updated
05/08/2025
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