Provider Demographics
NPI:1780433565
Name:AT A CROSS ROAD COUNSELING, PLLC
Entity type:Organization
Organization Name:AT A CROSS ROAD COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OUTPATIENT MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:BIDDINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-289-7578
Mailing Address - Street 1:4150 BAY AVE
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:MI
Mailing Address - Zip Code:48612-8819
Mailing Address - Country:US
Mailing Address - Phone:989-289-7578
Mailing Address - Fax:989-435-6038
Practice Address - Street 1:201 S ROSS ST
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:MI
Practice Address - Zip Code:48612-8113
Practice Address - Country:US
Practice Address - Phone:989-289-7578
Practice Address - Fax:989-435-6038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-15
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty