Crossroads Group, Llc

LBN: Crossroads Group, Llc
Crossroads Group, Llc is an health care organization with primary practice located at 667 Kuehnle St , Ann Arbor MI 48103-2608. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Crossroads Group, Llc can be contacted via phone (734) 660-4828, or through Bond, Dorella Louise via phone (734) 660-4828.

Contact Information

Primary practice address
667 Kuehnle St Ann Arbor MI 48103-2608
Phone: (734) 660-4828
Fax: (734) 994-9722
Website:
Map and Directions
Authorized official contact:
Name: Bond, Dorella Louise PH.D.
Phone: (734) 660-4828

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301012697 Michigan

Profile Details

NPI number 1023116480
LBN Legal business name Crossroads Group, Llc
DBA Doing business as
Authorized official Bond, Dorella Louise PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 16th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023116480 NPPES
Connecticut Other 060001850CT01 BC/BS OF CT
Connecticut Other 1780613885 BC/BS OF CT
Connecticut Other 68-0-F3-3231-0 BC/BS OF CT

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