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Contact Information

CROSSROADS SERVICES BOARD
60 BUSH RIVER DRIVE
FARMVILLE, VA23901
 Phone: 434-392-7049
 Fax: 434-392-9221
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Mental Health

101YM0800X
 

Non-emergency Medical Transport (VAN)

343900000X
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CROSSROADS SERVICES BOARD

NPI # 1528091063
LBN Legal business name CROSSROADS SERVICES BOARD
Authorized official MICHELLE FOORE - (CREDENTIALING COORDINATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/08/2006
Last updated 11/09/2020 - About 6 years ago
Identifiers
VA Medicaid 004945450
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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