Provider Demographics
NPI:1255615837
Name:CORNERSTONE COUNSELING
Entity type:Organization
Organization Name:CORNERSTONE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:DYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-322-3346
Mailing Address - Street 1:1560 JOHNSTON ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:WHEATLAND
Mailing Address - State:WY
Mailing Address - Zip Code:82201-3216
Mailing Address - Country:US
Mailing Address - Phone:307-322-3346
Mailing Address - Fax:
Practice Address - Street 1:1560 JOHNSTON ST
Practice Address - Street 2:SUITE D
Practice Address - City:WHEATLAND
Practice Address - State:WY
Practice Address - Zip Code:82201-3216
Practice Address - Country:US
Practice Address - Phone:307-322-3346
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-30
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty