CORNERSTONE WELLNESS CENTER LLC NPI 1730292996

NPI Information

NPI: 1730292996
Provider Name: CORNERSTONE WELLNESS CENTER LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1523 S BLUFF BLVD
CLINTON, IA
ZIP 52732
Phone: (563) 243-6054
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CORNERSTONE WELLNESS CENTER LLC is a mental health counselor in Clinton, IA. CORNERSTONE WELLNESS CENTER LLC NPI is 1730292996. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1523 S BLUFF BLVD
CLINTON, IA
ZIP 52732-549
Phone: (563) 243-6054
Fax: (563) 243-6828

The provider's authorized official is Thomas Lee Millard .
The authorized official title is Psychologist and has the following contact phone number (563) 243-6054.

The enumeration date for this NPI number is 8/15/2006 and was last updated on 9/20/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	1041C0700X	Social Worker	Clinical	No
2	207Q00000X	Family Medicine		No
3	2084P0800X	Psychiatry & Neurology	Psychiatry	No
4	101YM0800X	Counselor	Mental Health	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	23379	OTHER	IOWA	BLUE CROSS BLUE SHIELD
2	I1298	MEDICARE PIN	IOWA

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

NPI Synchronization or Removal

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