Provider Demographics
NPI:1437228905
Name:CORNERSTONE COUNSELING AND CONSULTING, P.C.
Entity Type:Organization
Organization Name:CORNERSTONE COUNSELING AND CONSULTING, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:B
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:417-888-3012
Mailing Address - Street 1:2200 E SUNSHINE ST
Mailing Address - Street 2:SUITE 212
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-1924
Mailing Address - Country:US
Mailing Address - Phone:417-888-3012
Mailing Address - Fax:417-885-9012
Practice Address - Street 1:2200 E SUNSHINE ST
Practice Address - Street 2:SUITE 212
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-1924
Practice Address - Country:US
Practice Address - Phone:417-888-3012
Practice Address - Fax:417-885-9012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1999140252103TC0700X
MO0060501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty