Provider Demographics
NPI:1992496236
Name:CROSSROADS COUNSELING AND WELLNESS LLC
Entity type:Organization
Organization Name:CROSSROADS COUNSELING AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ELISA
Authorized Official - Middle Name:S
Authorized Official - Last Name:TUFFY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:570-351-4630
Mailing Address - Street 1:555 NORTHERN BLVD # 112
Mailing Address - Street 2:
Mailing Address - City:CHINCHILLA
Mailing Address - State:PA
Mailing Address - Zip Code:18410-9800
Mailing Address - Country:US
Mailing Address - Phone:570-351-4630
Mailing Address - Fax:
Practice Address - Street 1:790 NORTHERN BLVD
Practice Address - Street 2:
Practice Address - City:SOUTH ABINGTON TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:18411-8799
Practice Address - Country:US
Practice Address - Phone:570-351-4630
Practice Address - Fax:272-207-2506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-17
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty