Provider Demographics
NPI:1073209904
Name:CORNERSTONE CHRISTIAN COUNSELING, INC.
Entity Type:Organization
Organization Name:CORNERSTONE CHRISTIAN COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER, CEO
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, CAC
Authorized Official - Phone:303-902-3068
Mailing Address - Street 1:13701 W JEWELL AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-4180
Mailing Address - Country:US
Mailing Address - Phone:303-902-3068
Mailing Address - Fax:303-484-3943
Practice Address - Street 1:320 PASEO REYES DR
Practice Address - Street 2:
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32095-8464
Practice Address - Country:US
Practice Address - Phone:904-439-4400
Practice Address - Fax:303-484-3943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-13
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health