Provider Demographics
NPI:1851620645
Name:CORNERSTONE COUNSELING SERVICES,LLC
Entity Type:Organization
Organization Name:CORNERSTONE COUNSELING SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:270-407-5454
Mailing Address - Street 1:200 E 4TH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:TOMPKINSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42167-1611
Mailing Address - Country:US
Mailing Address - Phone:270-407-5454
Mailing Address - Fax:
Practice Address - Street 1:200 E 4TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:TOMPKINSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42167-1611
Practice Address - Country:US
Practice Address - Phone:270-407-5454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-08
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1006101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty