Provider Demographics
NPI:1558615708
Name:CORNERSTONE CHRISTIAN COUNSELING, INC
Entity Type:Organization
Organization Name:CORNERSTONE CHRISTIAN COUNSELING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER, CEO
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:303-902-3068
Mailing Address - Street 1:13701 W JEWELL AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-4180
Mailing Address - Country:US
Mailing Address - Phone:303-902-3068
Mailing Address - Fax:303-484-3943
Practice Address - Street 1:13701 W JEWELL AVE STE 205
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-4180
Practice Address - Country:US
Practice Address - Phone:303-902-3068
Practice Address - Fax:303-484-3943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-08
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4915101YP2500X
CO885106H00000X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty