CROSSROADS COUNSELING AND LIFE COACHING LLC NPI 1255593315

NPI Information

NPI: 1255593315
Provider Name: CROSSROADS COUNSELING AND LIFE COACHING LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
575 N KELLOGG ST
SUITE 4
GALESBURG, IL
ZIP 61401
Phone: (309) 343-0800
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CROSSROADS COUNSELING AND LIFE COACHING LLC is a professional counselor in Galesburg, IL. CROSSROADS COUNSELING AND LIFE COACHING LLC NPI is 1255593315. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

575 N KELLOGG ST
SUITE 4
GALESBURG, IL
ZIP 61401-608
Phone: (309) 343-0800
Fax: (309) 343-0802

The provider's authorized official is Rebecca S. Mowers .
The authorized official title is Co-owner and has the following contact phone number (309) 343-0800.

The enumeration date for this NPI number is 6/30/2008 and was last updated on 10/11/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	178-004809	ILLINOIS	No
2	1041C0700X	Social Worker	Clinical	149.013063	ILLINOIS	No
3	101YP2500X	Counselor	Professional	180007544	ILLINOIS	No
4	101YP2500X	Counselor	Professional	178011327	ILLINOIS	Yes
5	103TC0700X	Psychologist	Clinical	071.005306	ILLINOIS	No
6	101YM0800X	Counselor	Mental Health	180008809	ILLINOIS	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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