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CORNERSTONE HEALTH CARE LLC NPI 1912251232


NPI Information

NPI: 1912251232
Provider Name: CORNERSTONE HEALTH CARE, LLC

Doing Business As: CORNERSTONE BEHAVIORAL MEDICINE @ CPED PREMIER

Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
4515 PREMIER DR
SUITE 402A
HIGH POINT, NC
ZIP 27265
Phone: (336) 802-2205
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CORNERSTONE HEALTH CARE, LLC is a counselor in High Point, NC. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. CORNERSTONE HEALTH CARE, LLC NPI is 1912251232. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cornerstone Behavioral Medicine @ Cped Premier.

The provider's business location address is:

4515 PREMIER DR
SUITE 402A
HIGH POINT, NC
ZIP 27265-357
Phone: (336) 802-2205
Fax: (336) 802-2206

The provider's authorized official is Charles Douglas Mathis .
The authorized official title is Chief Administrative Officer and has the following contact phone number (336) 802-2536.

The enumeration date for this NPI number is 11/8/2012 and was last updated on 11/7/2016.


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 License Number License State Primary
1101Y00000XCounselorYes

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
16008795MEDICAIDNORTH CAROLINA

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: 5/5/2024

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