| Crossroads To Pathways Llc | |
|
124 N 5th St Gadsden AL 35901-3708 | |
| (256) 393-0705 | |
| Not Available |
| Full Name | Crossroads To Pathways Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 124 N 5th St, Gadsden, Alabama |
| Authorized Official Name and Position | Sharika N Pruitt (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 2563930705 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads To Pathways Llc 7616 Lister Ferry Rd Rainbow City AL 35906-9314 Ph: (256) 393-0705 | Crossroads To Pathways Llc 124 N 5th St Gadsden AL 35901-3708 Ph: (256) 393-0705 |
| NPI Number | 1861915126 |
|---|---|
| Provider Enumeration Date | 07/19/2017 |
| Last Update Date | 07/19/2017 |
| Medicare PECOS PAC ID | 5890131718 |
|---|---|
| Medicare Enrollment ID | O20240313002164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861915126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3735 (Alabama) | Primary |
| Provider Name | Sharika Natasha Pruitt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134649361 PECOS PAC ID: 6709222623 Enrollment ID: I20240313002222 |
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