| Crossroads Counseling | |
|
628 Forest Trl Argyle TX 76226-6705 | |
| (817) 966-3910 | |
| Not Available |
| Full Name | Crossroads Counseling |
|---|---|
| Speciality | Psychologist |
| Location | 628 Forest Trl, Argyle, Texas |
| Authorized Official Name and Position | Charles Clifford Borsellino (MANAGER) |
| Authorized Official Contact | 8179663910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Counseling 628 Forest Trl Argyle TX 76226-6705 Ph: (817) 966-3910 | Crossroads Counseling 628 Forest Trl Argyle TX 76226-6705 Ph: (817) 966-3910 |
| NPI Number | 1437785011 |
|---|---|
| Provider Enumeration Date | 03/16/2020 |
| Last Update Date | 09/30/2021 |
| Certification Date | 09/30/2021 |
| Medicare PECOS PAC ID | 2264863208 |
|---|---|
| Medicare Enrollment ID | O20200507002048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437785011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Charles C Borsellino |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093966541 PECOS PAC ID: 4981766698 Enrollment ID: I20081217000399 |
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