CROSSROADS THERAPEUTIC SERVICES NPI 1275946741

NPI Information

  • NPI: 1275946741
  • Provider Name: CROSSROADS THERAPEUTIC SERVICES
  • Classification: Counselor - 101Y00000X
  • Entity Type: Organization
  • Address: 99 VILLAGE DR
    SUITE 18-4
    JACKSONVILLE, NC
    ZIP 28546
  • Phone: (910) 939-5144

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NPI Details

CROSSROADS THERAPEUTIC SERVICES is a counselor in Jacksonville, NC. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. CROSSROADS THERAPEUTIC SERVICES NPI is 1275946741. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

99 VILLAGE DR
SUITE 18-4
JACKSONVILLE, NC
ZIP 28546-067
Phone: (910) 939-5144
Fax: (910) 939-5934

The provider's authorized official is Dejuan Joyce Lundy .
The authorized official title is Member/organizer and has the following contact phone number (919) 225-9315.

The enumeration date for this NPI number is 6/3/2014 and was last updated on 6/12/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3101YP2500XCounselorProfessionalNo
4101Y00000XCounselorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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