Provider Demographics
NPI:1700407517
Name:CORNERSTONE BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:CORNERSTONE BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CALEB
Authorized Official - Middle Name:
Authorized Official - Last Name:FOLKERTS
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:618-973-1889
Mailing Address - Street 1:14837 DETROIT AVE # 193
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-3909
Mailing Address - Country:US
Mailing Address - Phone:618-973-1889
Mailing Address - Fax:
Practice Address - Street 1:780 E 185TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44119-2174
Practice Address - Country:US
Practice Address - Phone:216-681-9264
Practice Address - Fax:216-282-8596
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-04
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty