Provider Demographics
NPI:1538211198
Name:CROSSROADS COUNSELING ASSOCIATES
Entity type:Organization
Organization Name:CROSSROADS COUNSELING ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:E
Authorized Official - Last Name:STOKEY
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:978-772-6100
Mailing Address - Street 1:249 AYER RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:HARVARD
Mailing Address - State:MA
Mailing Address - Zip Code:01451-1133
Mailing Address - Country:US
Mailing Address - Phone:978-772-6100
Mailing Address - Fax:
Practice Address - Street 1:249 AYER RD
Practice Address - Street 2:SUITE 204
Practice Address - City:HARVARD
Practice Address - State:MA
Practice Address - Zip Code:01451-1133
Practice Address - Country:US
Practice Address - Phone:978-772-6100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty