| Crossings Counseling, Llc | |
|
111 W 2nd St Pratt KS 67124-2644 | |
| (620) 672-6168 | |
| (620) 672-6168 |
| Full Name | Crossings Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 111 W 2nd St, Pratt, Kansas |
| Authorized Official Name and Position | Sara N Wallace (PROVIDER/THERAPIST) |
| Authorized Official Contact | 6206726168 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossings Counseling, Llc 111 W 2nd St Pratt KS 67124-2644 Ph: (620) 672-6168 | Crossings Counseling, Llc 111 W 2nd St Pratt KS 67124-2644 Ph: (620) 672-6168 |
| NPI Number | 1992206494 |
|---|---|
| Provider Enumeration Date | 02/21/2018 |
| Last Update Date | 04/02/2019 |
| Medicare PECOS PAC ID | 6800157033 |
|---|---|
| Medicare Enrollment ID | O20180302000291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992206494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sara N Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811142557 PECOS PAC ID: 3870738941 Enrollment ID: I20180302000400 |
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