Provider Demographics
NPI:1740371491
Name:CORNERSTONE COUNSELING CENTER
Entity type:Organization
Organization Name:CORNERSTONE COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BESSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-322-4941
Mailing Address - Street 1:439 1ST AVE NW
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-6124
Mailing Address - Country:US
Mailing Address - Phone:828-322-4941
Mailing Address - Fax:828-322-4931
Practice Address - Street 1:439 1ST AVE NW
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-6124
Practice Address - Country:US
Practice Address - Phone:828-322-4941
Practice Address - Fax:828-322-4931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6005714Medicaid
NC0116LOtherBLUE CROSS BLUE SHIELD NC