Organization Name: | CROSSINGS HEALTH, LLC |
NPI Number: | 1114155900 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JODIE R BROWN (DIRECTOR) |
Mailing Address: | 206 W Jefferson St Suite 7 La Grange |
State: | KY US |
Postal Code: | 400311110 |
Phone Number: | 5024948249 |
Fax Number: | |
NPI Enumeration Date: | 06/30/2009 |
NPI Last Update Date: | 06/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 716 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |