Provider Demographics
NPI:1225233224
Name:CORNERSTONE MENTAL HEALTH ASSOCIATES, INC
Entity Type:Organization
Organization Name:CORNERSTONE MENTAL HEALTH ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:936-295-1000
Mailing Address - Street 1:2804 LAKE RD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:HUNTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77340-5626
Mailing Address - Country:US
Mailing Address - Phone:936-295-1000
Mailing Address - Fax:936-295-7447
Practice Address - Street 1:2804 LAKE RD
Practice Address - Street 2:SUITE 6
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77340-5626
Practice Address - Country:US
Practice Address - Phone:936-295-1000
Practice Address - Fax:936-295-7447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9806101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00U33FOtherBCBS GROUP NUMBER