| Organization Name: | CORNERSTONE COUNSELING LLC |
| NPI Number: | 1174850614 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MISTI ANDERSON OR LOLITA SMITH (MANAGING MEMBER) |
| Mailing Address: | 2496 Indian Springs Rd Marianna |
| State: | FL US |
| Postal Code: | 324463140 |
| Phone Number: | 8505263227 |
| Fax Number: | |
| NPI Enumeration Date: | 11/04/2009 |
| NPI Last Update Date: | 12/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | CAP3431; CAP3669 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |