| Crossroads: Solutions For Life Llc | |
|
1030 County Road E W Ste 220 Shoreview MN 55126-8153 | |
| (651) 249-1750 | |
| Not Available |
| Full Name | Crossroads: Solutions For Life Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1030 County Road E W Ste 220, Shoreview, Minnesota |
| Authorized Official Name and Position | Leanne Mairs (OWNER) |
| Authorized Official Contact | 6512491750 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads: Solutions For Life Llc Po Box 270696 Vadnais Heights MN 55127-0696 Ph: (651) 249-1750 | Crossroads: Solutions For Life Llc 1030 County Road E W Ste 220 Shoreview MN 55126-8153 Ph: (651) 249-1750 |
| NPI Number | 1376255240 |
|---|---|
| Provider Enumeration Date | 12/22/2022 |
| Last Update Date | 11/07/2023 |
| Certification Date | 11/07/2023 |
| Medicare PECOS PAC ID | 1456792399 |
|---|---|
| Medicare Enrollment ID | O20240509002918 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376255240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Leanne M Mairs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053567560 PECOS PAC ID: 2961644018 Enrollment ID: I20130820000502 |
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