| Organization Name: | CROSSROADS CONSULTING INTERNATIONAL LLC |
| NPI Number: | 1184089096 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BLANCHE CONOVER WELLS (MANAGING PARTNER) |
| Mailing Address: | 11704 Se Dixie Hwy Hobe Sound |
| State: | FL US |
| Postal Code: | 334555457 |
| Phone Number: | 7726752110 |
| Fax Number: | 7723246558 |
| NPI Enumeration Date: | 12/18/2015 |
| NPI Last Update Date: | 12/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 2015-125-0972 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |