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Contact Information

CORNERSTONE COUNSELING LLC
2496 INDIAN SPRINGS RD
MARIANNA, FL32446
 Phone: 850-526-3227
 Fax: 866-456-9674
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for CORNERSTONE COUNSELING LLC

NPI # 1669611810
LBN Legal business name CORNERSTONE COUNSELING LLC
Authorized official MISTI ANDERSON - (PROGRAM DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/11/2009
Last updated 12/22/2010 - About 15 years ago
Identifiers
FL License # MH9347
FL License # MH9988
FL License # PY6953
FL Medicaid 000889900
FL Medicaid 692141896
FL Medicaid 768925000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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