Provider Demographics
NPI:1902562465
Name:CROSSTREES COUNSELING, LLC
Entity type:Organization
Organization Name:CROSSTREES COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:C
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:513-846-5144
Mailing Address - Street 1:700 W PETE ROSE WAY STE 530
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45203-1885
Mailing Address - Country:US
Mailing Address - Phone:513-246-4293
Mailing Address - Fax:
Practice Address - Street 1:700 W PETE ROSE WAY STE 530
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45203-1885
Practice Address - Country:US
Practice Address - Phone:513-246-4293
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-09
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty