Provider Demographics
NPI:1336314046
Name:CROSSROADS COUNSELING INC
Entity Type:Organization
Organization Name:CROSSROADS COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:RYKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:406-252-8898
Mailing Address - Street 1:2534 LILLIS LN
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-3842
Mailing Address - Country:US
Mailing Address - Phone:406-252-8898
Mailing Address - Fax:406-294-0967
Practice Address - Street 1:2534 LILLIS LN
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-3842
Practice Address - Country:US
Practice Address - Phone:406-252-8898
Practice Address - Fax:406-294-0967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1077 LCPC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT000740740OtherBCBS
MT0255782Medicaid