Provider Demographics
NPI:1245857598
Name:CROSSROADS THERAPY AND COUNSELING INC
Entity type:Organization
Organization Name:CROSSROADS THERAPY AND COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:M
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, MDIV, LMHC
Authorized Official - Phone:813-695-7894
Mailing Address - Street 1:473 CARRIAGE HOUSE LN
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34688-7251
Mailing Address - Country:US
Mailing Address - Phone:813-695-7894
Mailing Address - Fax:
Practice Address - Street 1:473 CARRIAGE HOUSE LN
Practice Address - Street 2:
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34688-7251
Practice Address - Country:US
Practice Address - Phone:813-695-7894
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-02
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty