CROSSROADS COUNSELING AND PLAY CENTER, LLC (NPI# 1023662756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023662756 |
| Entity Type | Organization |
| Organization Name | CROSSROADS COUNSELING AND PLAY CENTER, LLC |
| Practice Address |
401 E Waldron St Ste B Corinth MS 38834-4707 |
| Mailing Address |
2040 E Shiloh Rd Ste 1 Corinth MS 38834-3725 |
| Practice Telephone | 6623961167 |
| Practice Fax Number | 6622607106 |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-12-04 |
| Authorized Official Name | TRACY O GARDNER (OWNER) |
| Authorized Official Telephone | 6623961176 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | LICENSE | 801096466 | 01 |
| Street Address |
401 E WALDRON ST STE B |
| City | CORINTH |
| State | MS |
| Zip Code | 38834-4707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831751890 | Tracy O. Gardner | Counselor | 401 E Waldron St Ste B, Corinth, MS 38834-4707 | 2019-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176824 | Crystalcare | Clinic/Center | 3124 N Shiloh Road, Corinth, MS 38834 | 2020-05-20 |
| 1962046680 | Wanda Lee Kilpatrick | Technician | 1206 Breckenridge St., Corinth, MS 38834 | 2019-11-06 |
| 1215595756 | Alanna Nunez Heflin | Dentist | 3127 E Shiloh Rd, Corinth, MS 38834 | 2019-05-30 |
| 1629530795 | A Port In The Storm (apits) | Clinic/Center | 102 N. Cass Street, Suite B, Corinth, MS 38834 | 2019-04-05 |
| 1538654199 | Jerry Wayne Latch | Durable Medical Equipment & Medical Supplies | 206 N Fillmore St, Corinth, MS 38834 | 2018-06-26 |
| 1194215681 | Brooks Medical Clinic | Clinic/Center | 2113 South Tate Street, Corinth, MS 38834 | 2018-05-10 |
| 1164938650 | Pediatric Dentistry of Corinth | Dentist | 1500 N Harper Rd #5, Pediatric Dentistry of Corinth, Corinth, MS 38834 | 2017-12-19 |
| 1467964536 | King Speech-language Therapy, LLC | Speech-Language Pathologist | 2203 Hwy 72 East, Corinth, MS 38834 | 2017-10-30 |
| 1841669728 | Glenda Gatlin | Social Worker | 14 Cr 305, Corinth, MS 38834 | 2015-09-21 |
| 1649646555 | Amanda Word | Social Worker | 303 North Madison Street, Corinth, MS 38834 | 2015-08-14 |
| Find all providers in zip 38834 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831751890 | Tracy O. Gardner | Counselor | 401 E Waldron St Ste B, Corinth, MS 38834-4707 | 2019-06-30 |
| 1467914135 | Stephanie Leigh Eaton | Counselor | 198 County Road 305, Corinth, MS 38834-8846 | 2019-04-02 |
| 1558805556 | Laura Lanier | Counselor | 1430 Robinson Rd, #430, Corinth, TX 76210-3154 | 2016-12-09 |
| 1255791463 | Renee Susann Pfeffer | Counselor | 1430 Robinson Rd # 430, Corinth, TX 76210-3154 | 2016-03-01 |
| 1710307509 | Christy Graham, Lpc & Associates LLC | Counselor | 1402 N Corinth St Ste 116, Corinth, TX 76208-5445 | 2014-04-21 |
| 1164729679 | Cheryl Crosley Culberson | Counselor | 3105 Brookview Dr, Corinth, TX 76210-2707 | 2011-02-17 |
| 1609108208 | Holly Forester | Counselor | 2213 Knoll Ridge Dr, Corinth, TX 76210-1903 | 2010-02-06 |
| 1831268085 | Abbe L Leal | Counselor | 2600 Vistaview Dr, Corinth, TX 76210-2753 | 2006-11-06 |
| 1912541749 | Amanda R Barton | Counselor | 1410 Robinson Rd Ste 400, Corinth, TX 76210-2848 | 2019-11-05 |
| 1104301043 | Nancy Jane Bledsoe-link | Counselor | 1410 Robinson Rd Ste 400, Corinth, TX 76210-2848 | 2018-09-26 |
| Find all providers in CORINTH | ||||
Please comment or provide details below to improve the information on CROSSROADS COUNSELING AND PLAY CENTER, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.