Provider Demographics
NPI:1578684031
Name:COUNSELING CENTER AT THE CROSSING, INC.
Entity type:Organization
Organization Name:COUNSELING CENTER AT THE CROSSING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:R
Authorized Official - Last Name:MCDANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:D MIN
Authorized Official - Phone:317-578-9200
Mailing Address - Street 1:10412 ALLISONVILLE RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-2033
Mailing Address - Country:US
Mailing Address - Phone:317-578-9200
Mailing Address - Fax:317-578-9201
Practice Address - Street 1:10412 ALLISONVILLE RD
Practice Address - Street 2:SUITE 105
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-2033
Practice Address - Country:US
Practice Address - Phone:317-578-9200
Practice Address - Fax:317-578-9201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2012-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty