Crossroads Lake County Adolescent Counseling
LBN: Crossroads Health
Crossroads Lake County Adolescent Counseling is an health care organization with primary practice located at 9220 Mentor Ave , Mentor OH 44060-6412. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Crossroads Health can be contacted via phone (440) 354-9924, or through Iden, Alice via phone (440) 255-1700.
Contact Information
Primary practice address
9220 Mentor Ave
Mentor OH 44060-6412
Phone: (440) 354-9924
Fax: (877) 242-9583
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1093307654 |
|---|---|
| LBN Legal business name | Crossroads Health |
| DBA Doing business as | Crossroads Lake County Adolescent Counseling |
| Authorized official | Iden, Alice |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 5th, 2021 |
| Last updated | Jan 29th, 2024 - about 10 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093307654 | NPPES |
| Ohio | MEDICAID | 0435072 |
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