| Organization Name: | CROSSROADS COUNSELING, PLLC |
| NPI Number: | 1053712034 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DIANE BACHMAN (OWNER) |
| Mailing Address: | 190 S Main St Ste 100 Centerville |
| State: | UT US |
| Postal Code: | 840142814 |
| Phone Number: | 8017252095 |
| Fax Number: | |
| NPI Enumeration Date: | 09/10/2014 |
| NPI Last Update Date: | 07/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 8332548-6004 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |