| Organization Name: | CORNERSTONE COUNSELING AND WELLNESS, LLC |
| NPI Number: | 1750713889 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KEVIN CONNOLLY (PRESIDENT) |
| Mailing Address: | 1 N Bacton Hill Rd Suite 107 Frazer |
| State: | PA US |
| Postal Code: | 193551047 |
| Phone Number: | 4846450252 |
| Fax Number: | |
| NPI Enumeration Date: | 07/31/2013 |
| NPI Last Update Date: | 08/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | CW014460 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |