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CORNERSTONE SERVICE INTERVENTION SYSTEMS NPI 1033321237


NPI Information

NPI: 1033321237
Provider Name: CORNERSTONE SERVICE INTERVENTION SYSTEMS

Doing Business As: CORNERSTONE CHILD AND FAMILY SERVICES

Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
4620 HAYGOOD RD STE 6
VIRGINIA BEACH, VA
ZIP 23455
Phone: (757) 464-2470
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CORNERSTONE SERVICE INTERVENTION SYSTEMS is an adolescent and children mental health clinic center in Virginia Beach, VA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. CORNERSTONE SERVICE INTERVENTION SYSTEMS NPI is 1033321237. The provider is registered as an organization entity type.
The provider Is Doing Business As Cornerstone Child And Family Services.

The provider's business location address is:

4620 HAYGOOD RD STE 6
VIRGINIA BEACH, VA
ZIP 23455-401
Phone: (757) 464-2470

The provider's authorized official is Walter Lewis Stone .
The authorized official title is Director and has the following contact phone number (757) 464-2470.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 11/22/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0855XClinic/CenterAdolescent and Children Mental Health915 05 001VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DMHMRSASOTHERVIRGINIALICENSE # 915 05 001

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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