Provider Demographics
NPI:1699570630
Name:VICTORY CROSS, INC
Entity type:Organization
Organization Name:VICTORY CROSS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SNYDER-COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHCA
Authorized Official - Phone:260-224-0998
Mailing Address - Street 1:1210 GUTHRIE ST
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46802-3713
Mailing Address - Country:US
Mailing Address - Phone:260-433-5235
Mailing Address - Fax:
Practice Address - Street 1:1210 GUTHRIE ST
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46802-3713
Practice Address - Country:US
Practice Address - Phone:260-433-5235
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-14
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty