Organization
CROSSROADS COUNSELING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WATERS LCSW, LCADC (CEO)
(502) 370-7229
Entity
Organization
Contact information
Practice address
409 W NEW CIRCLE RD, LEXINGTON, KY 40511-1832
(859) 800-5353
(859) 554-0408
Mailing address
1236 PARIS PIKE, GEORGETOWN, KY 40324-9701
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100587310
—
KY
Enumeration date
06/05/2017
Last updated
11/15/2023
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