Provider Demographics
NPI:1346972213
Name:COBBLESTONE COUNSELING LLC
Entity Type:Organization
Organization Name:COBBLESTONE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:J
Authorized Official - Last Name:CONRAD-MCPEEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-341-6797
Mailing Address - Street 1:3863 HAMILTON SCIPIO RD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-9229
Mailing Address - Country:US
Mailing Address - Phone:513-341-6797
Mailing Address - Fax:
Practice Address - Street 1:3863 HAMILTON SCIPIO RD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-9229
Practice Address - Country:US
Practice Address - Phone:513-341-6797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-28
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty