| Crossroads Therapy, Llc | |
|
408 4th St N Jacksonville Beach FL 32250-5620 | |
| (904) 853-7780 | |
| Not Available |
| Full Name | Crossroads Therapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 408 4th St N, Jacksonville Beach, Florida |
| Authorized Official Name and Position | Kelly Suzanne Gordon (THERAPIST) |
| Authorized Official Contact | 9048537780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Therapy, Llc 333 9th St Atlantic Beach FL 32233-5437 Ph: () - | Crossroads Therapy, Llc 408 4th St N Jacksonville Beach FL 32250-5620 Ph: (904) 853-7780 |
| NPI Number | 1285144949 |
|---|---|
| Provider Enumeration Date | 10/09/2017 |
| Last Update Date | 10/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285144949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 14099 (Florida) | Primary |
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