Provider Demographics
NPI:1639571409
Name:CROSSVILLE COUNSELING CENTER, P.C.
Entity Type:Organization
Organization Name:CROSSVILLE COUNSELING CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:WEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, PHD
Authorized Official - Phone:931-456-8600
Mailing Address - Street 1:1299 GENESIS RD STE 3
Mailing Address - Street 2:
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38555-5693
Mailing Address - Country:US
Mailing Address - Phone:931-456-8600
Mailing Address - Fax:931-456-8607
Practice Address - Street 1:1299 GENESIS RD STE 3
Practice Address - Street 2:
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38555-5693
Practice Address - Country:US
Practice Address - Phone:931-456-8600
Practice Address - Fax:931-456-8607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-23
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health