Provider Demographics
NPI:1134666431
Name:A NEW CORNERSTONE, LLC
Entity Type:Organization
Organization Name:A NEW CORNERSTONE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE LICENSE COUNSELOR/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, ALC
Authorized Official - Phone:205-940-4673
Mailing Address - Street 1:3296 CAHABA HEIGHTS RD
Mailing Address - Street 2:SUITE 20
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35243-1653
Mailing Address - Country:US
Mailing Address - Phone:205-940-4673
Mailing Address - Fax:
Practice Address - Street 1:3296 CAHABA HEIGHTS RD
Practice Address - Street 2:SUITE 20
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35243-1653
Practice Address - Country:US
Practice Address - Phone:205-940-4673
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-24
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC2310P251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health