| Crossbridge Counseling Llc | |
|
1040 Edgewater Corporate Pkwy Ste 101 Indian Land SC 29707-4526 | |
| (814) 882-5400 | |
| Not Available |
| Full Name | Crossbridge Counseling Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1040 Edgewater Corporate Pkwy Ste 101, Indian Land, South Carolina |
| Authorized Official Name and Position | Ronald Miller (OWNER) |
| Authorized Official Contact | 8148825400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossbridge Counseling Llc 9400 Avery Lilac Ln Indian Land SC 29707-6921 Ph: () - | Crossbridge Counseling Llc 1040 Edgewater Corporate Pkwy Ste 101 Indian Land SC 29707-4526 Ph: (814) 882-5400 |
| NPI Number | 1730957119 |
|---|---|
| Provider Enumeration Date | 12/15/2023 |
| Last Update Date | 12/15/2023 |
| Certification Date | 12/15/2023 |
| Medicare PECOS PAC ID | 9234580127 |
|---|---|
| Medicare Enrollment ID | O20240104002293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730957119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Ronald Lee Miller |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1295832095 PECOS PAC ID: 1052762945 Enrollment ID: I20240104002389 |
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