| Crossroads Counseling, Pllc | |
|
2900 Packard Rd Suite 1 Ypsilanti MI 48197-2060 | |
| (734) 528-9703 | |
| Not Available |
| Full Name | Crossroads Counseling, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 2900 Packard Rd, Ypsilanti, Michigan |
| Authorized Official Name and Position | Jennifer Chaille Rich (OWNER) |
| Authorized Official Contact | 7345289703 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Counseling, Pllc 2900 Packard Rd Suite 1 Ypsilanti MI 48197-2060 Ph: (734) 528-9703 | Crossroads Counseling, Pllc 2900 Packard Rd Suite 1 Ypsilanti MI 48197-2060 Ph: (734) 528-9703 |
| NPI Number | 1346419264 |
|---|---|
| Provider Enumeration Date | 02/25/2008 |
| Last Update Date | 02/25/2008 |
| Medicare PECOS PAC ID | 8628382553 |
|---|---|
| Medicare Enrollment ID | O20150805007329 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346419264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 6301013629 (Michigan) | Primary |
| Provider Name | Michele C Wolf |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245369412 PECOS PAC ID: 4385671775 Enrollment ID: I20060426000198 |
| Provider Name | Stephen R Wiland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740526391 PECOS PAC ID: 8527494954 Enrollment ID: I20200204000788 |
| Provider Name | Rachel Anna Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689220014 PECOS PAC ID: 1456752401 Enrollment ID: I20210628002220 |
| Provider Name | Imojean Lois Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548718968 PECOS PAC ID: 9436525698 Enrollment ID: I20221013002066 |
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