Provider Demographics
NPI:1740865948
Name:MY CROSSING PATHS COUNSELING CENTER, LLC
Entity type:Organization
Organization Name:MY CROSSING PATHS COUNSELING CENTER, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KNACH
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, LCADC
Authorized Official - Phone:443-470-9226
Mailing Address - Street 1:521 BROOK RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21286-5634
Mailing Address - Country:US
Mailing Address - Phone:443-470-9226
Mailing Address - Fax:
Practice Address - Street 1:2205 YORK RD STE 10
Practice Address - Street 2:
Practice Address - City:LUTHVLE TIMON
Practice Address - State:MD
Practice Address - Zip Code:21093-3168
Practice Address - Country:US
Practice Address - Phone:443-845-3986
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-10
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDLC4397OtherLCPC