CORNERSTONE WELLNESS GROUP LLC NPI 1407266604

NPI Information

NPI: 1407266604
Provider Name: CORNERSTONE WELLNESS GROUP, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
405 E. CROCKETT ST.
CLEVELAND, TX
ZIP 77327
Phone: (281) 593-1888
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CORNERSTONE WELLNESS GROUP, LLC is a mental health counselor in Cleveland, TX. CORNERSTONE WELLNESS GROUP, LLC NPI is 1407266604. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

405 E. CROCKETT ST.
CLEVELAND, TX
ZIP 77327-998
Phone: (281) 593-1888
Fax: (281) 593-1890

The provider's authorized official is Lois Marie Liddle .
The authorized official title is Licensed Proffesional Counselor and has the following contact phone number (281) 593-1888.

The enumeration date for this NPI number is 4/28/2014 and was last updated on 4/28/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	12361	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1255688297	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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