Provider Demographics
NPI:1609806405
Name:CORNERSTONE COUNSELING CENTER, P.C.
Entity Type:Organization
Organization Name:CORNERSTONE COUNSELING CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:BEACHY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:717-671-9520
Mailing Address - Street 1:5405 JONESTOWN RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-4021
Mailing Address - Country:US
Mailing Address - Phone:717-671-9520
Mailing Address - Fax:717-671-9524
Practice Address - Street 1:5405 JONESTOWN RD
Practice Address - Street 2:SUITE 103
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-4021
Practice Address - Country:US
Practice Address - Phone:717-671-9520
Practice Address - Fax:717-671-9524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA02313900OtherCAPITAL BLUE CROSS
PACO1439363OtherHIGHMARK BLUE SHIELD