Provider Demographics
NPI:1497442099
Name:CORNERSTONE COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:CORNERSTONE COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANITRA
Authorized Official - Middle Name:N
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:774-205-5259
Mailing Address - Street 1:11 WINDSOR DR
Mailing Address - Street 2:
Mailing Address - City:WAREHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02571-1459
Mailing Address - Country:US
Mailing Address - Phone:508-623-6445
Mailing Address - Fax:
Practice Address - Street 1:11 WINDSOR DR
Practice Address - Street 2:
Practice Address - City:WAREHAM
Practice Address - State:MA
Practice Address - Zip Code:02571-1459
Practice Address - Country:US
Practice Address - Phone:508-623-6445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty