Provider Demographics
NPI:1053744060
Name:CROSSING PATHS, LLC
Entity type:Organization
Organization Name:CROSSING PATHS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-660-8282
Mailing Address - Street 1:517 ALCOVE RD STE 201
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-8574
Mailing Address - Country:US
Mailing Address - Phone:704-660-8282
Mailing Address - Fax:704-660-8285
Practice Address - Street 1:6277 CAROLINA COMMONS DR STE 200
Practice Address - Street 2:
Practice Address - City:INDIAN LAND
Practice Address - State:SC
Practice Address - Zip Code:29707-6003
Practice Address - Country:US
Practice Address - Phone:803-396-0504
Practice Address - Fax:803-396-0514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-13
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCHAS-0518332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment