Provider Demographics
NPI:1609970763
Name:CORNERSTONE COUNSELING, P.C.
Entity Type:Organization
Organization Name:CORNERSTONE COUNSELING, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MENTAL HEALTH THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:MARSH
Authorized Official - Suffix:
Authorized Official - Credentials:MA LCPC, LPC, NCC
Authorized Official - Phone:618-288-8787
Mailing Address - Street 1:20 A PROFESSIONAL PARK DRIVE
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62062
Mailing Address - Country:US
Mailing Address - Phone:618-288-8787
Mailing Address - Fax:618-288-0737
Practice Address - Street 1:20 A PROFESSIONAL PARK DRIVE
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:IL
Practice Address - Zip Code:62062
Practice Address - Country:US
Practice Address - Phone:618-288-8787
Practice Address - Fax:618-288-0737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-11
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty