Provider Demographics
NPI:1407385347
Name:CORNERSTONE COMMUNITY COUNSELING, LLC.
Entity Type:Organization
Organization Name:CORNERSTONE COMMUNITY COUNSELING, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELO
Authorized Official - Middle Name:
Authorized Official - Last Name:PRANNO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:724-699-6538
Mailing Address - Street 1:101 W BEAVER ST STE 2
Mailing Address - Street 2:
Mailing Address - City:MERCER
Mailing Address - State:PA
Mailing Address - Zip Code:16137-1547
Mailing Address - Country:US
Mailing Address - Phone:724-699-6538
Mailing Address - Fax:855-874-5395
Practice Address - Street 1:101 W BEAVER ST STE 2
Practice Address - Street 2:
Practice Address - City:MERCER
Practice Address - State:PA
Practice Address - Zip Code:16137-1547
Practice Address - Country:US
Practice Address - Phone:724-699-6538
Practice Address - Fax:855-874-5395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW019324251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health