Provider Demographics
NPI:1265769376
Name:CROSSWAY COUNSELING, PLLC
Entity type:Organization
Organization Name:CROSSWAY COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERISH
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:406-697-8828
Mailing Address - Street 1:848 MAIN ST
Mailing Address - Street 2:SUITE 8A
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59105-3358
Mailing Address - Country:US
Mailing Address - Phone:406-697-8828
Mailing Address - Fax:406-256-7026
Practice Address - Street 1:848 MAIN ST
Practice Address - Street 2:SUITE 8A
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59105-3358
Practice Address - Country:US
Practice Address - Phone:406-697-8828
Practice Address - Fax:406-256-7026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-10
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1449101YP2500X
MT8111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty