Cross Keys Counseling Center, Inc. in Forest Park - Clinical
Cross Keys Counseling Center, Inc. - NPI 1043369077
Cross Keys Counseling Center, Inc. is a Clinical in Forest Park, Georgia. Cross Keys Counseling Center, Inc. practices all healthcare services and medical treatments related to Clinical. The NPI Number for Cross Keys Counseling Center, Inc. is 1043369077. The last update date is 2020-08-22.
Cross Keys Counseling Center, Inc.'s current location address is 1035 Main St, Forest Park, Georgia. You can contact this provider via phone number 4043663420 and fax number 4046081365. The mailing address for Cross Keys Counseling Center, Inc. is 1035 Main St, Forest Park, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Cross Keys Counseling Center, Inc. |
|---|---|
| Address | 1035 Main St, Forest Park, Georgia |
| Phone Number | 4043663420 |
| Fax Number | 4046081365 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Hewitt Woodruff Doris |
| Credentials | PH.D. |
| Telephone Number | 4043663420 |
NPI Number Detail
| NPI Number | 1043369077 |
|---|---|
| Provider Enumeration Date | 2007-01-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1035 Main St |
|---|---|
| City | Forest Park |
| State | Georgia (GA) |
| Post Code | 302971441 |
| Phone Number | 4043663420 |
| Fax Number | 4046081365 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1569 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Cross Keys Counseling Center, Inc. by the Centers for Medicare & Medicaid Services?
The Cross Keys Counseling Center, Inc. has been assigned the NPI (National Provider Identifier) 1043369077. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Cross Keys Counseling Center, Inc. is geographically located?
The Cross Keys Counseling Center, Inc. is physically situated at the following location: 1035 Main St, Forest Park, GA, 302971441.
What is Cross Keys Counseling Center, Inc.'s area of expertise and its corresponding taxonomy classification?
The Cross Keys Counseling Center, Inc.'s field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1043369077 to Cross Keys Counseling Center, Inc.?
The Cross Keys Counseling Center, Inc. received its 1043369077 assignment from the Centers for Medicare & Medicaid Services on 2007-01-09.
When was the Cross Keys Counseling Center, Inc.'s information last updated?
The Cross Keys Counseling Center, Inc.'s information was last updated on 2020-08-22.
NPI Number: 1982607784
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