Provider Demographics
NPI:1982999017
Name:CORNERSTONE COUNSELING, LLC
Entity Type:Organization
Organization Name:CORNERSTONE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:BOB
Authorized Official - Last Name:PIERCE
Authorized Official - Suffix:JR
Authorized Official - Credentials:LMFT
Authorized Official - Phone:270-685-0110
Mailing Address - Street 1:2308 REIGH COUNT DR
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42301-4985
Mailing Address - Country:US
Mailing Address - Phone:270-685-0110
Mailing Address - Fax:270-683-4105
Practice Address - Street 1:527 ALLEN ST
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-3437
Practice Address - Country:US
Practice Address - Phone:270-685-0110
Practice Address - Fax:270-683-4105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-16
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0427106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty