Crossroads Counseling and Play Center, LLC
NPI #1023662756 in Corinth, Mississippi
Provider Information
- NPI Number
- 1023662756
- Entity Type
- Organization
- Organization Name
- Crossroads Counseling and Play Center, LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jul 31, 2019
- Last Updated
- Dec 4, 2019
Practice Location
- Address
- 401 E WALDRON ST STE B
- City
- Corinth
- State
- Mississippi
- ZIP Code
- 38834-4707
- Phone
- (662) 396-1167
Authorized Official
- Name
- TRACY O GARDNER, LPC
- Title
- OWNER
- Phone
- (662) 396-1176
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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