Basic Information
| Provider Information | |||||||||
| NPI: | 1265769376 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CROSSWAY COUNSELING, PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 848 MAIN ST | ||||||||
| Address2: | SUITE 8A | ||||||||
| City: | BILLINGS | ||||||||
| State: | MT | ||||||||
| PostalCode: | 591053358 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4066978828 | ||||||||
| FaxNumber: | 4062567026 | ||||||||
| Practice Location | |||||||||
| Address1: | 848 MAIN ST | ||||||||
| Address2: | SUITE 8A | ||||||||
| City: | BILLINGS | ||||||||
| State: | MT | ||||||||
| PostalCode: | 591053358 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4066978828 | ||||||||
| FaxNumber: | 4062567026 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/10/2009 | ||||||||
| LastUpdateDate: | 11/10/2009 | ||||||||
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| AuthorizedOfficialLastName: | ROBERTS | ||||||||
| AuthorizedOfficialFirstName: | CHERISH | ||||||||
| AuthorizedOfficialMiddleName: | L | ||||||||
| AuthorizedOfficialTitleorPosition: | MANAGING PARTNER | ||||||||
| AuthorizedOfficialTelephone: | 4066978828 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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| AuthorizedOfficialCredential: | LCPC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 1449 | MT | N | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | Counselor | Professional | 1041C0700X | 811 | MT | Y | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.